Individual
JOHN B ZIMMERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 753-7541
Mailing address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 753-7541
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01041629
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000506214
BLUE CROSS - ANTHEM
IN
05
—
200111250
—
IN
01
—
P00448127
RAIL ROAD MEDICARE
IN
Enumeration date
08/05/2006
Last updated
02/21/2025
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