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NANCY DEBRA SIMMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
330 BARCLAY AVE NE STE 303, GRAND RAPIDS, MI 49503-2527
(616) 391-1242
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301060840
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1558407189
GROUP NPI
MI
01
3504115511
BCBSM
MI
05
4816094
MI
Enumeration date
01/24/2006
Last updated
02/22/2021
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