Wayne Zimmer Mcbride D.O.

NPI 1568434009 - Family Medicine - 207Q00000X

NPI Details
NPI 1568434009
Gender Male
Enumeration Date 02/07/2006
Last Updated 10/29/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
6 WINDSONG WAY
BLOOMINGTON IL, 61704-8350, US
Phone (309) 585-2485
Fax
Business Location
6 WINDSONG WAY
BLOOMINGTON IL, 61704-8350, US
Phone (309) 585-2485
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036-129395
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According to our database, Dr. Wayne Zimmer Mcbride D.O. NPI is 1568434009, taxonomy code is 207Q00000X and license number is 036-129395, license state is located at Illinois. Wayne Zimmer Mcbride D.O. physically located at 6 Windsong Way, Bloomington IL, 61704-8350. NPI Number Wayne Zimmer Mcbride D.O. has the Individual type.

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1568434009 NPI number is provided on an as is basis without warranty of any kind. 1568434009 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne Zimmer Mcbride D.O. are for informational purposes only.