Individual
DR. ETHAN ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
632 MORRISON SPRINGS RD STE 101, CHATTANOOGA, TN 37415-3416
(423) 877-4556
(423) 877-9218
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01062906A
IN
Other
Enumeration date
11/06/2006
Last updated
06/15/2018
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