Organization
SIMON MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R SIMON M.D. (PRESIDENT)
(312) 656-7876
Entity
Organization
Contact information
Practice address
5555 GULL RD, SUITE 209, KALAMAZOO, MI 49048-7640
(269) 589-5229
Mailing address
10864 M 43, RICHLAND, MI 49083-9551
(312) 656-7876
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/07/2011
Last updated
10/10/2011
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