Provider Demographics
NPI:1154350288
Name:THOMAS E ZIMA DO PC
Entity type:Organization
Organization Name:THOMAS E ZIMA DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ZIMA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:586-468-7700
Mailing Address - Street 1:21550 HARRINGTON ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-2362
Mailing Address - Country:US
Mailing Address - Phone:586-468-7700
Mailing Address - Fax:586-468-6295
Practice Address - Street 1:21550 HARRINGTON ST
Practice Address - Street 2:SUITE F
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48036-2362
Practice Address - Country:US
Practice Address - Phone:586-468-7700
Practice Address - Fax:586-468-6295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101006813207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty