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Individual

DR. WENDY E ZIMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
199 PARK CLUB LN STE 300, WILLIAMSVILLE, NY 14221-5269
(716) 836-4646
(716) 836-4696
Mailing address
199 PARK CLUB LN STE 300, WILLIAMSVILLE, NY 14221-5269
(716) 836-4646
(716) 836-4696

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
198865
NY
2085R0202X
Diagnostic Radiology Physician
ME131480
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00020544502
UNIVERA
01
00020544503
UNIVERA
01
000523662007
BLUE SHIELD WNY
01
000523662009
BLUE SHIELD WNY
01
0142860
GHI
05
01575617
NY
01
040426001964
FIDELIS
01
197246FF
PREFERRED CARE
01
1988658W
WORKERS COMPENSATION
NY
01
4195244
GHI
01
5607163
INDEPENDENT HEALTH
01
P00051276
RR MEDICARE
01
P00080287
RR MEDICARE
01
P010198865
BLUE CHOICE
01
P020198865
BLUE SHIELD ROCHESTER
Enumeration date
05/03/2006
Last updated
02/11/2025
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