Individual
MISHEL SIMONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12340 STATE ROUTE 104, WAVERLY, OH 45690-8968
(740) 941-5180
Mailing address
12340 STATE ROUTE 104, WAVERLY, OH 45690-8968
(740) 941-5180
(740) 941-5178
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.150639
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2021
Last updated
06/26/2024
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