Organization
KIM SIMIC MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM SIMIC M.D. (PRESIDENT)
(219) 681-6830
Entity
Organization
Contact information
Practice address
297 W. FRANCISCAN DR., SUITE 108, CROWN POINT, IN 46307-4858
(219) 681-6830
Mailing address
4608 THORNBURY DR. W, VALPARAISO, IN 46383-0816
(219) 681-6830
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01040307B
IN
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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