Individual
DR. DEVIN DENE ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01042593A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000721951
BCBS
IN
05
—
100467080
—
IN
Enumeration date
06/17/2005
Last updated
09/14/2016
Update your record
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