Most Relevant Information
Provider Data
NPI Number: | 1003294729 |
Provider Name: | JOSHUA LEE ZIMMER |
Entity Type: | Individual |
Taxonomy Code: | 104100000X |
Specialty: | Social Worker |
License Number: |
Most Important Dates
Enumeration Date: | 05/14/2015 |
Last Updated: | 10/29/2015 |
Provider Practice Location
2680 VERNON DR
GREEN BAY
WI
543045374
Practice Location Phone/Fax
Phone: | 9205170044 |
Fax: |
Provider Mailing Location
2680 VERNON DR
GREEN BAY
WI
543045374
Provider Mailing Phone/Fax
Phone: | 9202721200 |
Fax: |