Organization
EVERETT B. SIMMONS,JR.,M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT BANNAKER SIMMONS JR. MD (OWNER)
(248) 557-3303
Entity
Organization
Contact information
Practice address
20905 GREENFIELD RD, 607, SOUTHFIELD, MI 48075-5360
(248) 557-3303
Mailing address
20905 GREENFIELD RD, 607, SOUTHFIELD, MI 48075-5360
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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