Individual
JOHN M FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-5006
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-8561
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD018416E
PA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD018416E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000728850
—
PA
Enumeration date
04/27/2006
Last updated
06/17/2020
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