Individual
SIMON RICHARD DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB
Contact information
Practice address
3601 W 13 MILE RD, 3RD FLOOR HEART CENTER, ROYAL OAK, MI 48073-6712
(248) 898-4163
(248) 898-5596
Mailing address
3601 W 13 MILE RD, 3RD FLOOR HEART CENTER, ROYAL OAK, MI 48073-6712
(248) 898-4163
(248) 898-5596
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301075071
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4446064
—
MI
Enumeration date
09/02/2006
Last updated
10/21/2020
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