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Individual

EMILY MARIE SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
208 PARKER ST, BOSCOBEL, WI 53805-1648
(608) 375-2424
Mailing address
208 PARKER ST, BOSCOBEL, WI 53805-1648
(608) 375-2424

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009726
IL
363AM0700X
Medical Physician Assistant
5155
WI

Other

Enumeration date
08/02/2020
Last updated
02/28/2024
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