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Individual

RICHARD ZIMMERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
118 W DREXEL PKWY, RENSSELAER, IN 47978-7344
(219) 866-4300
(219) 866-7591
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
041-452409
IL
363LF0000X
Family Nurse Practitioner
Primary
71007050A
IN

Other

Enumeration date
02/07/2017
Last updated
11/10/2023
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