Individual
JEFFREY SCOTT SIMON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9275 N 49TH ST, BROWN DEER, WI 53223-6455
(414) 357-9444
(414) 357-9422
Mailing address
9275 N 49TH ST, BROWN DEER, WI 53223-1499
(414) 357-9444
(414) 357-9422
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27085
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30663200
—
WI
Enumeration date
05/30/2006
Last updated
07/08/2007
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