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Contact Information

BYRON H SIMMONS, MD
2945 HAZELWOOD ST STE 310
MAPLEWOOD, MN55109-1241
 Phone: 651-264-1500
 Fax: 651-264-1646
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for BYRON H SIMMONS · (Male)

NPI Number 1225060346
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2006
Last updated 10/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 48318
  • MN Medicaid 099565700
  • MN Medicaid 191813300
  • MN Medicaid 386950400
Hospital affiliation(s)
  • HEALTHEAST ST JOHN'S HOSPITAL - (Acute Care)
    1575 BEAM AVENUE
    MAPLEWOOD, MN 55109
  • HEALTHEAST WOODWINDS HOSPITAL - (Acute Care)
    1925 WOODWINDS DRIVE
    WOODBURY, MN 55125
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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