Simanonok, John P

Simanonok, John P is an individual health care provider with primary practice located at 2901 W Kinnickinnic River Pkwy Ste 309 , Milwaukee WI 53215-3660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Simanonok, John P can be contacted via phone (414) 649-1292.

Contact Information

Primary practice address
2901 W Kinnickinnic River Pkwy Ste 309 Milwaukee WI 53215-3660
Phone: (414) 649-1292
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 44402 Wisconsin

Profile Details

NPI number 1003870395
LBN Legal business name Simanonok, John P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Nov 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003870395 NPPES
Wisconsin MEDICAID 34269400

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