Individual
LAWRENCE JOSEPH ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KRAFFT RD, FORT GRATIOT, MI 48059-3565
(810) 985-5125
(810) 985-5127
Mailing address
1501 KRAFFT RD, FORT GRATIOT, MI 48059-3565
(810) 985-5125
(810) 985-5127
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301030679
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z10656511
—
MI
Enumeration date
11/30/2007
Last updated
05/25/2010
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