Individual
DR. MICHAEL P ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6300 LA CALMA DR STE 200, AUSTIN, TX 78752-3825
(512) 452-8533
(512) 685-0612
Mailing address
6300 LA CALMA DRIVE SUITE 200, AUSTIN, TX 78752
(512) 452-8533
(512) 685-0612
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01054617A
IN
207P00000X
Emergency Medicine Physician
036-105559
IL
207P00000X
Emergency Medicine Physician
44719-020
WI
207P00000X
Emergency Medicine Physician
Primary
P5765
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34382800
—
WI
01
—
930123623
MEDICARE RAILROAD
IL
01
—
P00030482
MEDICARE RAILROAD
WI
01
—
P00043246
MEDICARE RAILROAD
IL
Enumeration date
06/12/2006
Last updated
11/17/2022
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