Individual
MICHELLE R ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1930 CROWN PARK CT, COLUMBUS, OH 43235-2402
(614) 457-1793
(614) 457-0704
Mailing address
1930 CROWN PARK CT, COLUMBUS, OH 43235-2402
(614) 457-1793
(614) 457-0704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35085900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2653123
—
OH
Enumeration date
06/09/2006
Last updated
04/05/2012
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