NPI 1396852091

Jill M Simons, MD

Practitioner Specialist Fridley, MN

Practice location

Address: 500 Osborne Rd NE 310, Fridley, MN 55432-2765
Phone: (763) 236-2700
Fax: (763) 236-2710

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 44604 (MN)

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Registry record

NPI: 1396852091
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Aug 2006
Record last updated: 10 Dec 2010

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.