Individual
CHRISTIAN G ZIMMERMAN
Active
Individual
CHRISTIAN G ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M6164
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010004671
REGENCE BLUESHIELD
ID
05
—
002733000
—
ID
01
—
0182710
WA DOL
WA
01
—
057633
OMAP
OR
01
—
185367100
US DEPARTMENT OF LABOR
—
01
—
58097
WA DEPARTMENT OF LABOR
WA
01
—
72488
BLUE CROSS OF IDAHO
ID
05
—
807730000
—
ID
01
—
8J711
BC OF IDAHO GROUP
ID
Enumeration date
07/18/2006
Last updated
04/22/2008
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