Provider Demographics
NPI:1972949220
Name:SIMPSON, ELISE NICOLE (DO)
Entity type:Individual
Prefix:DR
First Name:ELISE
Middle Name:NICOLE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:25500 MEADOWBROOK RD STE 120
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-1879
Mailing Address - Country:US
Mailing Address - Phone:248-465-4340
Mailing Address - Fax:248-465-4341
Practice Address - Street 1:25500 MEADOWBROOK RD STE 120
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-1879
Practice Address - Country:US
Practice Address - Phone:248-465-4340
Practice Address - Fax:248-465-4341
Is Sole Proprietor?:No
Enumeration Date:2013-05-14
Last Update Date:2024-01-12
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Provider Licenses
StateLicense IDTaxonomies
MI5101023338207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology