Organization
DRS RUBIN AND SIMONIAN PC
Active
Organization
DRS RUBIN AND SIMONIAN PC
Active
Other names
AFFILIATED EYE SURGENS
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY K SIMONIAN D.O. (DOCTOR)
(248) 547-6656
Entity
Organization
Contact information
Practice address
1421 E. 12 MILE, BLDG. A, MADISON HEIGHTS, MI 48071-2653
(248) 547-6656
(248) 547-5407
Mailing address
1421 E. 12 MILE, BLDG. A, MADISON HEIGHTS, MI 48071-2653
(248) 547-6656
(248) 547-5407
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139455411
—
MI
01
—
180008618
MRRR
MI
01
—
1856303004
BCBS
MI
01
—
8631110001
MRPB
MI
Enumeration date
12/27/2007
Last updated
07/21/2022
Update your record
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