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Individual

SIMON JOHN WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME93737
FL
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
4301512285
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01065084A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
030682700
FL
05
200894770
IN
Enumeration date
02/02/2006
Last updated
10/15/2024
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