Organization
KERRY M. SIMON, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY MARK SIMON M.D. (OWNER)
(231) 843-3700
Entity
Organization
Contact information
Practice address
220 S JAMES ST, LUDINGTON, MI 49431-2104
(231) 843-3700
(231) 843-4525
Mailing address
220 S JAMES ST, LUDINGTON, MI 49431-2104
(231) 843-3700
(231) 843-4525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301075257
MI
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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