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Contact Information

JOHN P SIMANONOK, MD
2901 W KINNICKINNIC RIVER PKWY STE 309
MILWAUKEE, WI53215-3660
 Phone: 414-649-1292
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for JOHN P SIMANONOK · (Male)

NPI Number 1003870395
Status Active
Credentials MD
Entity Individual
Enumeration date 04/13/2006
Last updated 11/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 44402
  • WI Medicaid 34269400
Hospital affiliation(s)
  • AURORA MED CTR MANITOWOC CTY - (Acute Care)
    5000 MEMORIAL DRIVE
    TWO RIVERS, WI 54241
  • AURORA ST LUKES MEDICAL CENTER - (Acute Care)
    2900 W OKLAHOMA AVE
    MILWAUKEE, WI 53215
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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