Individual
DONI SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1035 E WILCOX AVE, WHITE CLOUD, MI 49349-8794
(231) 689-5943
(231) 689-1590
Mailing address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-5462
(231) 745-5031
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704155460
MI
Other
Enumeration date
11/04/2015
Last updated
07/29/2020
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