MEDICARE: AARON EVAN ZIMMERMAN DC

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
1	111N00000X	Chiropractor	2301010770	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306302864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON EVAN ZIMMERMAN DC

Provider Business Mailing Address
First Line	:	4270 PLAINFIELD AVE NE # E
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-1603
Country	:	US
Telephone Number	:	616-228-4189
Fax Number	:	616-317-7071

Provider Business Practice Location Address
First Line	:	4270 PLAINFIELD AVE NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-1603
Country	:	US
Telephone Number	:	616-228-4189
Fax Number	:	616-288-7901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2019
Last Update Date	:	10/14/2021

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Directions to “ AARON EVAN ZIMMERMAN DC” Practice Location

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