NPI 1336631944

Eric Randell Simmons

Practitioner Basic Emergency Medical Technician Bloomfield Hills, MI

Practice location

Address: 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046
Phone: (248) 451-3743
Mailing address: 10 W Huron St STE 204, Pontiac, MI 48342-2191

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 1588826 (MI)

Other Emergency Medical Technician, Basic providers in Michigan →

Registry record

NPI: 1336631944
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2018
Record last updated: 31 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.