Organization
INTERNAL MEDICINE CONSULTANTS OF NORTHWEST OHIO LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A ZIMMERMAN MD (PRESIDENT)
(419) 874-9096
Entity
Organization
Contact information
Practice address
580 CRAIG DR STE 8, PERRYSBURG, OH 43551-1776
(419) 861-5430
(419) 861-5430
Mailing address
580 CRAIG DR STE 8, PERRYSBURG, OH 43551-1776
(419) 861-5430
(419) 861-5430
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000169296
ANTHEM
OH
05
—
2093158
—
OH
01
—
CH3197
RAILROAD MEDICARE
OH
Enumeration date
07/07/2006
Last updated
07/15/2011
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