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Individual

MARRIE J SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C.

Contact information

Practice address
503 CHERRY LN, ROBERTS, WI 54023-9731
(715) 684-1111
(715) 684-1119
Mailing address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1111
(715) 684-1119

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
695
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42958500
WI
Enumeration date
06/15/2006
Last updated
11/30/2017
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