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Organization
SIMMONS MEDICAL GROUP PC
Active
Organization
SIMMONS MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN JOSHUA TAROCKOFF (VICE PRESIDENT)
(734) 542-5512
Entity
Organization
Contact information
Practice address
38525 8 MILE RD, LIVONIA, MI 48152-1012
(734) 542-5512
Mailing address
38525 8 MILE RD, LIVONIA, MI 48152-1012
(734) 542-5512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/21/2014
Last updated
01/28/2021
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