Individual
EDWINA E SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7225 OLD OAK BLVD, SUITE B311, MIDDLEBURG HEIGHTS, OH 44130-3339
(440) 895-5056
(440) 333-2935
Mailing address
24651 CENTER RIDGE RD, SUITE 350, WESTLAKE, OH 44145-5635
(440) 895-5056
(440) 333-2935
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35056075
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0703037
—
OH
01
—
P00111439
RR MEDICARE
OH
Enumeration date
10/18/2005
Last updated
08/14/2014
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