Individual
HERBERT J. ZIMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1620 E DEAN RD, FOX POINT, WI 53217-2407
(414) 352-3889
Mailing address
1620 E DEAN RD, FOX POINT, WI 53217-2407
(414) 352-3889
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18440
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30862400
—
WI
01
—
P00451370
RR MEDICARE
WI
Enumeration date
07/11/2006
Last updated
07/18/2011
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