DR. Kerry Mark Simon, MD

NPI #1205823762 in Berlin, Wisconsin

Provider Information

NPI Number: 1205823762
Entity Type: Individual
Name: DR. Kerry Mark Simon, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 30, 2005
Last Updated: Dec 31, 2018

Practice Location

Address: 225 MEMORIAL DR STE 1200
City: Berlin
State: Wisconsin
ZIP Code: 54923-1243
Phone: (920) 361-5770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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