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Individual

TERESA N ZIMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-7700
Mailing address
24701 EUCLID AVENUE, 3RD FLOOR, EUCLID, OH 44117
(216) 383-6612

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
35-079190
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000204226
ANTHEM
OH
01
000000221295
UNISON
OH
01
000000526178
ANTHEM
OH
01
1021650580001
PA MEDICAID
PA
01
2253396
BCMH
05
2253396
OH
01
364167
WELLCARE
OH
01
4352478
AETNA
OH
01
745989
BUCKEYE
OH
Enumeration date
07/20/2006
Last updated
08/18/2011
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