Search › Minnesota › 225X00000X
Jack Simonsen
NPI 1972971745 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2029 Southcross Dr W Apt 308
Burnsville, MN 55306 - Phone
- (952) 239-0637
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota