Individual
CAROL ANN-MISKELL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
405 W GREENLAWN, SUITE 230, LANSING, MI 48910
(517) 485-8217
(417) 485-3871
Mailing address
405 W GREENLAWN, SUITE 230, LANSING, MI 48910
(517) 485-8217
(417) 485-3871
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
CM 052454
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103302631
BCBS
—
05
—
1917093
—
MI
01
—
P58657
BCN
—
Enumeration date
07/25/2006
Last updated
12/02/2014
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