Individual
STEPHEN W. ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 W BROWN ST, WAUPUN, WI 53963-1702
(920) 324-6531
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(720) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
16092
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31022500
—
WI
Enumeration date
08/04/2006
Last updated
03/22/2016
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