Organization
KIRSTEN J SIMANONOK MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN J SIMANONOK MD (PRESIDENT-OWNER)
(414) 365-3210
Entity
Organization
Contact information
Practice address
575 W RIVER WOODS PKWY, GLENDALE, WI 53212-1003
(414) 961-6700
(414) 961-6727
Mailing address
4555 W SCHROEDER DR, SUITE 170, MILWAUKEE, WI 53223-1475
(414) 365-3210
(414) 365-3225
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
03/25/2008
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