Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KERRY MARK SIMON, MD
ActiveDR. KERRY MARK SIMON, MD is a Family Medicine healthcare provider located in BERLIN, Wisconsin. NPI 1205823762 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BERLIN, WI
Registration Details
- NPI Number
- 1205823762
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2005 (20.687368794071 yrs)
- Last Updated
- Dec 31, 2018
- Licenses
-
4310075257 (MI)33205 (WI)
Practice Information
- Address
-
225 MEMORIAL DR STE 1200BERLIN, WI, 549231243Browse WI providers · Browse ZIP 54923
- Phone
- 9203615770
- Fax
- 9203615779
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in BERLIN, WI
| Name | Credential | NPI |
|---|---|---|
| TODD M. BRADSHAW | MD | 1518968460 |
| CRAIG BATLEY | DO | 1679574453 |
| DAVID BUDDE | DO | 1245231034 |
| KENNETH SULLIVAN | MD | 1902899917 |
| KIRSTEN ELIZABETH GROVE | DO | 1396162285 |
| ABIGAIL K PUGLISI | DO | 1366852550 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.