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Individual

MICHAEL SIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
550 UNIVERSITY BLVD STE 3170, INDIANAPOLIS, IN 46202-5149
(317) 944-7057
(317) 944-2443
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD52479
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/20/2010
Last updated
11/16/2020
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