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NPI Code Detail

MEDICARE: ROBERT A ZIMMERMAN MD

MEDICARE:   ROBERT A ZIMMERMAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35056466OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110211981OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2705102OTHEROHBCHP
3000000142294OTHEROHANTHEM
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
501042OTHEROHPARAMOUNT
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164407565
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT A ZIMMERMAN MD
Provider Business Mailing Address
First Line : 26776 HULL PRAIRIE RD
Second Line :
City : PERRYSBURG
State : OH
Zip : 43551-8933
Country : US
Telephone Number : 419-460-7610
Fax Number :
Provider Business Practice Location Address
First Line : 1200 S DETROIT AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43614-5903
Country : US
Telephone Number : 419-259-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2005
Last Update Date : 06/29/2017

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Directions to “ ROBERT A ZIMMERMAN MD” Practice Location

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