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1043319056
ROGER L ZIMMERMAN
FOND DU LAC, WI
NPI
1043319056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0106X Dentist, Oral and Maxillofacial Pathology
(Licence: WI 5000111)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
-- ROGER L ZIMMERMAN D.D.S.
464 S HICKORY ST
FOND DU LAC, WI 54935-5531
Phone number: 920-923-0111
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Mailing Address
-- ROGER L ZIMMERMAN D.D.S.
464 S HICKORY ST
FOND DU LAC, WI 54935-5531
Phone number:
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