Individual
DR. MICHAEL S. ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2136 E DESERT INN RD, SUITE A, LAS VEGAS, NV 89109-0802
(702) 562-2420
(702) 562-3202
Mailing address
2700 CRIMSON CANYON DR, STE 180, LAS VEGAS, NV 89128-0802
(702) 562-2420
(702) 562-3202
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7539
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019790
—
NV
01
—
CH1004
RAILROAD MEDICARE
NV
Enumeration date
08/25/2006
Last updated
05/13/2020
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