Individual
JILL SUZANNE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6913 N MAIN ST, GRANGER, IN 46530-8039
(574) 647-1500
(574) 243-4310
Mailing address
6913 N MAIN ST, GRANGER, IN 46530-8039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11014788A
IN
Other
Enumeration date
05/22/2009
Last updated
07/19/2012
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