Zimmer, Mary Jo
Zimmer, Mary Jo is an individual health care provider with primary practice located at 3003 W Good Hope Road , Milwaukee WI 53209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Zimmer, Mary Jo can be contacted via phone (414) 352-3100.Contact Information
Primary practice address
3003 W Good Hope Road
Milwaukee WI 53209
Phone: (414) 352-3100
Fax: (414) 247-4597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 26083 | Wisconsin |
Profile Details
| NPI number | 1083646236 |
|---|---|
| LBN Legal business name | Zimmer, Mary Jo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Nov 29th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083646236 | NPPES |
| Wisconsin | MEDICAID | 30588600 |
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