Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jon Vimmerstedt, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649019076

Jon Vimmerstedt, DO is a Student in an Organized Health Care Education/Training Program in Glendale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2024
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

18701 N 67th Ave
Glendale, AZ 85308-7100
Phone: (623) 561-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (AZ)

Record details

NPI number1649019076
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 24, 2024
Last updated in NPPESMay 24, 2024
Certification dateApril 22, 2024
Mailing address1641 E Aurelius Ave, Phoenix, AZ 85020-5559

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