Everett B. Simmons,jr.,m.D.,p.C.
Dermatology in Southfield, MI. Organization (NPI-2).
NPI number1861754152
StatusActive
Last updated in NPPESJun 12, 2012
Details
- NPI
- 1861754152
- Entity type
- Organization (NPI-2)
- Legal business name
- Everett B. Simmons,jr.,m.D.,p.C.
- Organization subpart
- No
- Enumeration date
- Jun 12, 2012
- Last updated
- Jun 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
20905 Greenfield Rd607
Southfield, MI 48075-5360
Phone 248-557-3303
Mailing address
20905 Greenfield Rd607
Southfield, MI 48075-5360
Authorized official
Everett Bannaker Simmons
Owner
2485573303
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