Zimmerman, Mark C

Zimmerman, Mark C is an individual health care provider with primary practice located at 10101 S 27Th St , Franklin WI 53132-7209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Zimmerman, Mark C can be contacted via phone (414) 817-5800.

Contact Information

Primary practice address
10101 S 27Th St Franklin WI 53132-7209
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 28928 Wisconsin

Profile Details

NPI number 1124088570
LBN Legal business name Zimmerman, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Nov 9th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124088570 NPPES
Wisconsin MEDICAID 31610300

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