Search › Minnesota › 101YA0400X
Samuel Simmons, LADC
NPI 1902281256 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3442 25th Ave S
Minneapolis, MN 55406 - Phone
- (612) 721-0106
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota