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Individual

DR. LAURA J SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100
Mailing address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100

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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