Individual
REBECCA L ZIMMERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
146 E GENEVA SQ, LAKE GENEVA, WI 53147
(262) 249-5000
(262) 248-7107
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56641-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100023071
—
WI
01
—
56641-21
WISCONSIN STATE LICENSE
WI
Enumeration date
08/31/2010
Last updated
09/08/2025
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