Individual
MATTHEW THOMAS ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
714 GRAVOIS RD STE 210, FENTON, MO 63026-7723
(636) 660-9850
(636) 660-9851
Mailing address
PO BOX 419052, SAINT LOUIS, MO 63141-9052
(314) 851-1000
(314) 851-4449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014006563
MO
Other
Enumeration date
05/18/2011
Last updated
01/04/2024
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