Individual
DR. JOHN P SIMANONOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY STE 309, MILWAUKEE, WI 53215-3660
(414) 649-1292
Mailing address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
44402
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34269400
—
WI
Enumeration date
04/13/2006
Last updated
11/23/2021
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