Individual
DR. DAVID M ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7910 W JEFFERSON BLVD STE 108, FORT WAYNE, IN 46804-4159
(260) 484-8830
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(239) 236-2775
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01050092A
IN
207RX0202X
Medical Oncology Physician
01050092A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389089
ANTHEM
IN
05
—
200387100
—
IN
05
—
3045412
—
OH
Enumeration date
03/16/2006
Last updated
05/15/2025
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