Individual
DR. MARIANNA SHIMONOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15900 W 10 MILE RD STE 202, SOUTHFIELD, MI 48075-2079
(248) 780-9110
Mailing address
18000 W 9 MILE RD STE 200, SOUTHFIELD, MI 48075-4020
(248) 336-4000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
258503
NY
2084P0800X
Psychiatry Physician
Primary
4301116893
MI
Other
Enumeration date
03/31/2009
Last updated
05/11/2026
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