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Individual

DR. EDWARD P. ZIMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., D.C.

Contact information

Practice address
9757 WESTPOINT DR STE 500, INDIANAPOLIS, IN 46256-3265
(317) 813-1998
(317) 813-1997
Mailing address
9757 WESTPOINT DR STE 500, INDIANAPOLIS, IN 46256-3265
(317) 813-1998
(317) 813-1997

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
08001814A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000205171
BCBS LEGACY PIN
IN
Enumeration date
01/30/2006
Last updated
09/28/2018
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