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Individual

DR. BRIAN MATTHEW ZIMMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4318 DEXTER AVE, ERIE, PA 16504-2444
(814) 825-2196
(814) 825-2987
Mailing address
4318 DEXTER AVE, ERIE, PA 16504-2444
(814) 825-2196
(814) 825-2987

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006853L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016435980003
PA
01
326599
UPMC
PA
01
343846
HEALTH AMERICA
PA
01
804591
HIGHMARK BLUE SHIELD
Enumeration date
05/05/2006
Last updated
04/02/2008
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