Individual
MARY BETH SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40520 CTY HWY 34, OGEMA, MN 56569
(218) 983-6389
Mailing address
40520 CTY HWY 34, OGEMA, MN 56569-9612
(218) 983-6389
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
467987
MN
2471B0102X
Bone Densitometry Radiologic Technologist
467987
MN
2471M2300X
Mammography Radiologic Technologist
467987
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093761710
—
MN
Enumeration date
05/14/2018
Last updated
05/14/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us