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Individual

DR. THOMAS WILDER ZINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-14018
KS
2085R0202X
Diagnostic Radiology Physician
2005009948
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100200980
KS
05
100200980B
KS
05
200837417
MO
Enumeration date
06/15/2005
Last updated
07/13/2010
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