Provider Demographics
NPI:1285803627
Name:ZIMMERMAN, WILLIAM BRITT (DO)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BRITT
Last Name:ZIMMERMAN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:804 SERVICE RD STE A202
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824-7015
Mailing Address - Country:US
Mailing Address - Phone:517-355-4205
Mailing Address - Fax:517-355-4202
Practice Address - Street 1:4660 S HAGADORN RD STE 600
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-5383
Practice Address - Country:US
Practice Address - Phone:517-355-4205
Practice Address - Fax:517-355-4202
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2024-10-22
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Provider Licenses
StateLicense IDTaxonomies
MI5101016094208800000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1285803627Medicaid
NC1285803627Medicaid
NCNCD271BMedicare PIN
MIP35120145Medicare PIN