Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK D SIMMS, MD
ActiveNeurodevelopmental Disabilities · BROOKFIELD, WI
Registration Details
- NPI Number
- 1154373918
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2006 (19.932355942464 yrs)
- Last Updated
- Oct 10, 2014
- License
-
35801 (WI)
Practice Information
- Address
-
13800 W NORTH AVECHILD DEVELOPMENT CENTER OF CHWBROOKFIELD, WI, 530054977Browse WI providers · Browse ZIP 53005
- Phone
- 2624326600
- Fax
- 2624326604
- Primary Specialty
-
Neurodevelopmental Disabilities
2080P0008X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.