Individual
JAKE RILEY SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 500-2043
Mailing address
1 FORD PL, DETROIT, MI 48202-3450
(313) 500-2043
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
5101028386
MI
Other
Enumeration date
06/07/2019
Last updated
12/17/2024
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