MR. WAYNE EDWIN ZIMMERMAN (NPI# 1720391964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720391964 |
| Entity Type | Individual |
| Full Name | MR. WAYNE EDWIN ZIMMERMAN |
| Credential | MSLP |
| Practice Address |
432 1st Ave Se Glenwood MN 56334-1718 |
| Practice Telephone | 3208150970 |
| Mailing Telephone | 3208150970 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
LP1321 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417272220 | Wayne Zimmerman | Physical Therapist | 3800 Sawgrass Way Apt 3113, Naples, FL 34112-3379 | 2010-04-05 |
| 1144548827 | Wayne Zimmerman | Pharmacist | 491a Blue Eagle Ave, Harrisburg, PA 17112-2314 | 2010-05-05 |
| Street Address |
432 1ST AVE SE |
| City | GLENWOOD |
| State | MN |
| Zip Code | 56334-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306206446 | Glacial Ridge Hospital District | Optometrist | 16 West Minnesota Avenue, Suite 102, Glenwood, MN 56334 | 2016-03-02 |
| 1922320142 | Michael David Flaten | Marriage & Family Therapist | 100 17th Ave Nw, Suite #2 Lakeland Mental Health Center, Glenwood, MN 56334 | 2010-02-16 |
| 1427107721 | G E Maher Ltd | Dentist | 101 First Avenue Sw, Glenwood, MN 56334 | 2007-01-09 |
| 1740340256 | Jeremy Myrom | Dentist | 1616 N Franklin St, Glenwood, MN 56334 | 2006-12-12 |
| 1144380627 | Scott William Ringdahl | Dentist | 1616 N Franklin Str, Glenwood, MN 56334 | 2006-12-12 |
| 1487802021 | Elizabeth Ziemba Colsen | Surgery | 10 4th Ave Se, Glenwood, MN 56334 | 2008-09-08 |
| 1427210533 | David Edward Polzin | Family Medicine | 10 4th Ave Se, Glenwood, MN 56334 | 2008-06-30 |
| 1225258247 | Dental Health Services Minnewaska Pllc | Dentist | 1616 N Franklin Str, Glenwood, MN 56334 | 2007-05-01 |
| 1194968750 | Gerald Edward Maher | Dentist | 101 First Ave Sw, Glenwood, MN 56334-0174 | 2009-04-13 |
| 1548444243 | Jean Marie Mcdermott | Case Manager/Care Coordinator | 102 1st St Ne, #2, Glenwood, MN 56334-1201 | 2007-12-18 |
| Find all providers in zip 56334 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355275 | Paul Franklin Singh | Psychologist | 150 E Travelers Trl Ste G, Burnsville, MN 55337-6890 | 2020-10-29 |
| 1639779127 | Abdifatah Nuuh | Psychologist | 4204 16th Ave S, Minneapolis, MN 55407-3312 | 2020-10-26 |
| 1134732514 | Colleen Cashen | Psychologist | 1341 Cleveland Ave S, Saint Paul, MN 55116-2653 | 2020-08-26 |
| 1295357440 | Pure Potential Counseling | Psychologist | 18685 Dylan Dr, Farmington, MN 55024-7070 | 2020-05-11 |
| 1871115337 | Melissa Jean King | Psychologist | 205 W 2nd St Ste 437, Duluth, MN 55802-1922 | 2020-05-07 |
| 1841811296 | Kristen Math X | Psychologist | 1603 Pebble Creek Dr, Sartell, MN 56377-4538 | 2020-04-27 |
| 1245859982 | Thomas Allen | Psychologist | 12 Valley View Pl, Mankato, MN 56001-2500 | 2020-04-13 |
| 1033749163 | Neurocalm, LLC | Psychologist | 3153 Hennepin Ave Ste 211, Minneapolis, MN 55408-2620 | 2020-01-16 |
| 1457999500 | Megan Robb | Psychologist | 555 W Broadway Ave Ste 2and3, Forest Lake, MN 55025-1175 | 2019-12-18 |
| 1821635723 | Leadership Coaching Institute LLC | Psychologist | 1264 Garden St, Ogilvie, MN 56358-3520 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.