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Individual

DR. MICHAEL R SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4870 W CLARK RD, SUITE 202, YPSILANTI, MI 48197-1104
(734) 434-5430
(734) 434-5762
Mailing address
49 CASS ST S, SUITE1B, BATTLE CREEK, MI 49017-2331
(269) 969-8920
(269) 969-8921

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
4301031929
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104241002
MI
Enumeration date
08/21/2006
Last updated
07/08/2007
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