Individual
DR. KOLLEEN L ZIMMERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
715 SUPERIOR RD STE 120, GREEN BAY, WI 54311-7595
(920) 406-9803
(920) 406-9934
Mailing address
2461 HOLMGREN WAY, GREEN BAY, WI 54304-5224
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
38042-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070016223
RAILROAD MEDICARE
WI
05
—
32561400
—
WI
Enumeration date
07/28/2006
Last updated
07/17/2018
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