Individual
REBECCA MARIE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-1888
Mailing address
28761 ARANEL ST, FARMINGTON HILLS, MI 48334-2803
(248) 761-4620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101020537
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
5101020537
MI
Other
Enumeration date
03/31/2013
Last updated
08/13/2020
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