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Individual

MARK J ZIMMER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
620 2ND ST, TRAVERSE CITY, MI 49684-2272
(231) 922-0233
(989) 356-4199
Mailing address
620 2ND ST, TRAVERSE CITY, MI 49684-2272
(231) 922-0233
(989) 356-4199

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005511
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
950B85020
BLUE CROSS BLUE SHIELD
MI
01
P65677
RAILROAD MEDICARE
MI
Enumeration date
05/11/2006
Last updated
07/08/2007
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