Individual
SIMEON NATHANIEL DARWICK BIRNBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5708 VENTURE CT STE A, KALAMAZOO, MI 49009-2858
(914) 419-7552
Mailing address
2245 TIPPERARY RD, KALAMAZOO, MI 49008-1709
(914) 419-7552
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501014149
MI
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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