Most Relevant Information
Provider Data
| NPI Number: | 1003492182 |
| Provider Name: | MICHELLE SIMMONS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 50.006911RX |
Most Important Dates
| Enumeration Date: | 03/20/2021 |
| Last Updated: | 03/22/2021 |
Provider Practice Location
9500 EUCLID AVE
CLEVELAND
OH
441950001
Practice Location Phone/Fax
| Phone: | 2164442200 |
| Fax: |
Provider Mailing Location
9500 EUCLID AVE
CLEVELAND
OH
441950001
Provider Mailing Phone/Fax
| Phone: | 2164442200 |
| Fax: |