Individual
MELISSA M SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
901 DAVIDSON ST NW, ELKADER, IA 52043-9015
(563) 245-7000
Mailing address
901 DAVIDSON ST NW, ELKADER, IA 52043-9015
(563) 245-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4252
IA
207Q00000X
Family Medicine Physician
52306-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2007
Last updated
08/02/2023
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