Individual
CHRIS SIMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
825 N CENTER AVE, GAYLORD, MI 49735-1592
(989) 731-2100
(989) 731-2205
Mailing address
825 N CENTER AVE, GAYLORD, MI 49735-1592
(989) 731-2100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704125213
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4750484
—
MI
Enumeration date
09/21/2006
Last updated
07/08/2007
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