Individual
JOHN A SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8450 SEASONS PARKWAY, WOODBURY, MN 55125-4402
(651) 702-5300
(651) 702-5305
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43349
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096693200
—
MN
Enumeration date
02/17/2006
Last updated
10/14/2020
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