# MICHAEL R. SIMMONS, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144769530
- **Authorized official:** DR. MICHAEL R SIMMONS (OWNER)
- **Authorized official phone:** (410) 252-6400

## Contact information

- **Practice address:** 57 W TIMONIUM RD, SUITE 208, TIMONIUM, MD 21093-3125
- **Practice address phone:** (410) 252-6400
- **Mailing address:** 57 W TIMONIUM RD, SUITE 208, TIMONIUM, MD 21093-3125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | D0030190 | MD | Yes |

## Other

- **Enumeration date:** 02/17/2017
- **Last updated:** 02/17/2017