Individual
MICHAEL STEVEN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
4100 JOHN R HWCRC 4TH FL, KARMANOS CANCER CENTER, DETROIT, MI 48201-2013
(800) 527-6266
(313) 576-8767
Mailing address
1560 E MAPLE ROAD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(248) 581-5976
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301047715
MI
207RX0202X
Medical Oncology Physician
Primary
4301047715
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3102855
—
MI
Enumeration date
06/06/2006
Last updated
02/03/2016
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