Provider Demographics
NPI:1255304804
Name:ZIMMERMAN, DAVID SEEBOLD (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SEEBOLD
Last Name:ZIMMERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3978 BROOKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2103
Mailing Address - Country:US
Mailing Address - Phone:717-728-9113
Mailing Address - Fax:
Practice Address - Street 1:6 MARKET PLAZA WAY
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-5659
Practice Address - Country:US
Practice Address - Phone:717-766-0228
Practice Address - Fax:717-766-8122
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD005636E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA005636EOtherMEDICAL LICENSE