| Audrey M Sim Pllc | |
|
25915 Harper Ave Ste B Saint Clair Shores MI 48081-3770 | |
| (586) 872-2580 | |
| (586) 872-2689 |
| Full Name | Audrey M Sim Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 25915 Harper Ave Ste B, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Audrey M Sim (PRESIDENT) |
| Authorized Official Contact | 5868722580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey M Sim Pllc 25915 Harper Ave Ste B Saint Clair Shores MI 48081-3770 Ph: (586) 872-2580 | Audrey M Sim Pllc 25915 Harper Ave Ste B Saint Clair Shores MI 48081-3770 Ph: (586) 872-2580 |
| NPI Number | 1407161086 |
|---|---|
| Provider Enumeration Date | 08/08/2010 |
| Last Update Date | 03/15/2011 |
| Medicare PECOS PAC ID | 3971799669 |
|---|---|
| Medicare Enrollment ID | O20101119000854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407161086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Audrey Mullin Sim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881604577 PECOS PAC ID: 8022006402 Enrollment ID: I20040504001056 |
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