Individual
DR. MICHAEL T. SIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6600 BRUCEVILLE RD, MOB 3, 3RD FLOOR, SACRAMENTO, CA 95823-4671
(916) 688-6988
(916) 688-6507
Mailing address
6600 BRUCEVILLE RD, MOB 3, 3RD FLOOR, SACRAMENTO, CA 95823-4671
(916) 688-6988
(916) 688-6507
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A86300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A86300
MEDICAL LICENSE
CA
Enumeration date
12/13/2005
Last updated
07/08/2007
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