Individual
DR. LAURA J SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33569
WI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
33569
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036045907 2
—
IL
05
—
31883100
—
WI
Enumeration date
12/27/2006
Last updated
06/20/2013
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