Individual
MRS. KATIE ELIZABETH SIMKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
8365 N NEWBURGH RD, WESTLAND, MI 48185-1149
(734) 416-2000
Mailing address
30091 MUIRLAND DR, FARMINGTON HILLS, MI 48334-2052
(734) 578-8870
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704273155
MI
363LP2300X
Primary Care Nurse Practitioner
4704273155
MI
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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