| Doctor Name: | MR. MICHAEL ROSS SIMMONS |
| NPI Number: | 1104931328 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | D30190 |
| Business Practice Address: | 57 W Timonium Rd Suite #208 Timonium, MD - 210933125 |
| Business Phone Number: | 4102526400 |
| Business Fax Number: | |
| Mailing Address: | 57 W Timonium Rd, Suite #208 TIMONIUM |
| State: | MD |
| Postal Code: | 210933125 |
| Phone Number: | 4102526400 |
| Fax Number: | 4102526402 |
| NPI Enumeration Date: | 08/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | D30190 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |