Individual
ERIC RANDELL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 S TELEGRAPH RD, BLOOMFIELD HILLS, MI 48302-0046
(248) 451-3743
Mailing address
10 W HURON ST STE 204, PONTIAC, MI 48342-2191
(248) 797-5888
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
1588826
MI
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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