Roger L Zimmerman in Fond Du Lac - Oral And Maxillofacial Pathology

Roger L Zimmerman - NPI 1043319056

Roger L Zimmerman is a Oral And Maxillofacial Pathology in Fond Du Lac, Wisconsin. Roger L Zimmerman practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Roger L Zimmerman is 1043319056. The last update date is 2007-07-08.

Roger L Zimmerman's current location address is 464 S Hickory St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209230111 and fax number 9209230366. The mailing address for Roger L Zimmerman is 464 S Hickory St, Fond Du Lac, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Roger L Zimmerman
Address 464 S Hickory St, Fond Du Lac, Wisconsin
Phone Number 9209230111
Fax Number 9209230366
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1043319056
Provider Enumeration Date 2006-09-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 464 S Hickory St
City Fond Du Lac
State Wisconsin (WI)
Post Code 549355531
Phone Number 9209230111
Fax Number 9209230366

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No 5000111
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

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FAQs about Roger L Zimmerman

What is the unique 10-digit identification code assigned to Roger L Zimmerman by the Centers for Medicare & Medicaid Services?

The Roger L Zimmerman has been issued the NPI (National Provider Identifier) 1043319056, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Roger L Zimmerman?

The Roger L Zimmerman is physically situated at 464 S Hickory St, in the city of Fond Du Lac, state of WI, with the postal code 549355531.

What is the Roger L Zimmerman's specialty and taxonomy code?

The Roger L Zimmerman's specialty is Oral And Maxillofacial Pathology, and the corresponding taxonomy code is 1223P0106X.

On what date did the Centers for Medicare & Medicaid Services assign the 1043319056 to Roger L Zimmerman?

The Centers for Medicare & Medicaid Services assigned the 1043319056 to Roger L Zimmerman on 2006-09-22.

As of what date was the information pertaining to Roger L Zimmerman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Roger L Zimmerman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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