# SIMON MEDICAL SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265716377
- **Authorized official:** ROBERT R SIMON M.D. (PRESIDENT)
- **Authorized official phone:** (312) 656-7876

## Contact information

- **Practice address:** 5555 GULL RD, SUITE 209, KALAMAZOO, MI 49048-7640
- **Practice address phone:** (269) 589-5229
- **Mailing address:** 10864 M 43, RICHLAND, MI 49083-9551
- **Mailing address phone:** (312) 656-7876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2011
- **Last updated:** 10/10/2011