Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SIMON LEO LICK, M.D.
ActiveDR. SIMON LEO LICK, M.D. is a Internal Medicine healthcare provider located in GRAND RAPIDS, Minnesota. NPI 1922238823 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · GRAND RAPIDS, MN
Registration Details
- NPI Number
- 1922238823
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2009 (17.017169141301 yrs)
- Last Updated
- Sep 20, 2018
- License
-
54954 (MN)
Practice Information
- Address
-
1601 GOLF COURSE RDGRAND RAPIDS, MN, 557448648Browse MN providers · Browse ZIP 55744
- Phone
- 2183263401
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in GRAND RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| DR. PETER M. FRIEDLIEB | MD | 1568449106 |
| DR. JAMISON L. HARKER | MD | 1376520916 |
| DR. ROGER A. RALSTON | MD | 1609853258 |
| DR. MARC A. FOWLER | MD | 1497732069 |
| DARIN SKAUDIS | MD | 1396908521 |
| KEITH MURPHY | M.D. | 1508007659 |
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.