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Organization

CORRIDOR HEALTH CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL SIMISON M.D. (PRESIDENT)
(319) 826-3994
Entity
Organization

Contact information

Practice address
4005 WILSON AVE SW, CEDAR RAPIDS, IA 52404-6340
(319) 826-3994
(319) 826-3996
Mailing address
4005 WILSON AVE SW, CEDAR RAPIDS, IA 52404-6340
(319) 826-3994
(319) 826-3996

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37768
IA

Other

Enumeration date
03/02/2012
Last updated
02/14/2017
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