Individual
DR. MARY ANNE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 S RIDGE ST, PORT SANILAC, MI 48469-9704
(810) 622-8230
Mailing address
245 S RIDGE ST, PORT SANILAC, MI 48469-9704
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012218
MI
Other
Enumeration date
01/05/2006
Last updated
07/08/2007
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