Dale D Zimmerman, D.O.
Family Medicine in Warsaw, IL. Individual provider (NPI-1).
NPI number1720169899
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1720169899
- Entity type
- Individual (NPI-1)
- Name
- Dale D Zimmerman
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2006
- Certification date
- Oct 12, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036150944 | IL | Yes |
| 207Q00000X | Family Medicine | DO101841 | MO |
Practice location
1102 N County Road 700Warsaw, IL 62379-3011
Phone 217-256-4100 · Fax 217-256-3800
Mailing address
1102 N County Road 700Warsaw, IL 62379-3011
Phone 217-256-4100 · Fax 217-256-3800
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