NPI 1336189075

Jon L Simmons, MD

Practitioner Family Medicine Physician Marinette, WI

Practice location

Address: 2820 Roosevelt Road, Marinette, WI 54143-3834
Phone: (715) 735-5225
Fax: (715) 735-5388
Mailing address: PO Box 1866, Green Bay, WI 54305-1866

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 37092 (WI)

Other Family Medicine providers in Wisconsin →

Adult Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207QA0505X Licence 4301089159 (MI)

Registry record

NPI: 1336189075
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2006
Record last updated: 31 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.