Individual
MARK A SIMAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 S LAKE PARK AVE, SUITE 1102, HOBART, IN 46342-6641
(219) 947-6960
(219) 947-6960
Mailing address
1600 S. LAKE PARK AVE, SUITE 1102, HOBART, IN 46342-6641
(219) 736-6955
(219) 736-6080
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
01046578A
IN
2084N0400X
Neurology Physician
Primary
01046578
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84104
ANTHEM
—
Enumeration date
01/18/2007
Last updated
12/17/2012
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