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Individual

DR. ANDREA K SIMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
13105 SCHAVEY ROAD, SUITE 2, DEWITT, MI 48820
(517) 668-6166
(517) 668-6169
Mailing address
13105 SCHAVEY ROAD, SUITE 2, DEWITT, MI 48820
(517) 668-6166
(517) 668-6169

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1275661321
MI
213E00000X
Podiatrist
5901002235
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134902666
MI
Enumeration date
03/14/2007
Last updated
10/27/2010
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