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Individual

DR. ROBERT R SIMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5555 GULL RD, SUITE 209, KALAMAZOO, MI 49048-7640
(269) 589-5229
(269) 375-7565
Mailing address
10864 M 43, RICHLAND, MI 49083-9551
(269) 589-5229
(269) 375-7565

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-056652
IL
208D00000X
General Practice Physician
189273
AK
208D00000X
General Practice Physician
Primary
4301035155
MI
208D00000X
General Practice Physician
44281
AL
208D00000X
General Practice Physician
66947
AR
208D00000X
General Practice Physician
66947
AZ
208D00000X
General Practice Physician
E-15241
AR
208D00000X
General Practice Physician
G33486
CA

Other

Enumeration date
02/21/2007
Last updated
06/06/2022
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