Provider Demographics
NPI:1568603991
Name:ZIPKIN, DIETLINDE WOHRER (MD)
Entity Type:Individual
Prefix:DR
First Name:DIETLINDE
Middle Name:WOHRER
Last Name:ZIPKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6725 FAIRVIEW RD STE A
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-5327
Mailing Address - Country:US
Mailing Address - Phone:704-367-1799
Mailing Address - Fax:
Practice Address - Street 1:6725 FAIRVIEW RD STE A
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-5327
Practice Address - Country:US
Practice Address - Phone:704-367-1799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-15
Last Update Date:2009-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9401370207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine