in Stevensville - Emergency Medicine

- NPI 1659323061

is a Emergency Medicine in Stevensville, Michigan. practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for is 1659323061. The last update date is .

's current location address is 2560 Heritage Way, Stevensville, Michigan. You can contact this provider via phone number 2694226109. The mailing address for is 2560 Heritage Way, Stevensville, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 2560 Heritage Way, Stevensville, Michigan
Phone Number 2694226109
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1659323061
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 2560 Heritage Way
City Stevensville
State Michigan (MI)
Post Code 491278750
Phone Number 2694226109
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 65110
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4714998 MI --
4720645 MI --
MW015555 MI BC/BS
4687390 MI --

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