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Individual

DALE D ZIMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1102 N COUNTY ROAD 700, WARSAW, IL 62379-3011
(217) 256-4100
(217) 256-3800
Mailing address
1102 N COUNTY ROAD 700, WARSAW, IL 62379-3011
(217) 256-4100
(217) 256-3800

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036150944
IL
207Q00000X
Family Medicine Physician
DO101841
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
243451218
MO
Enumeration date
10/17/2006
Last updated
11/27/2023
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