Individual
JILL M SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 OSBORNE RD NE, 310, FRIDLEY, MN 55432-2765
(763) 236-2700
(763) 236-2710
Mailing address
500 OSBORNE RD NE, 310, FRIDLEY, MN 55432-2765
(763) 236-2700
(763) 236-2710
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
44604
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033093100
—
MN
Enumeration date
08/25/2006
Last updated
12/10/2010
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