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Individual

GRETA CATHERINE ZIMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0441
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070017291
RAILROAD MEDICARE
SC
05
T00503
SC
Enumeration date
02/13/2006
Last updated
03/07/2023
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