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Organization
DUBOIS MEDICAL ENTERPRISES PC
Active
Organization
DUBOIS MEDICAL ENTERPRISES PC
Active
Other names
Eastside Family Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM FREDERICK DUBOIS M.D. (OWNER)
(231) 972-2710
Entity
Organization
Contact information
Practice address
8540 105TH AVE, STANWOOD, MI 49346-9764
(231) 972-2710
(231) 972-2712
Mailing address
8540 105TH AVE, STANWOOD, MI 49346-9764
(231) 972-2710
(231) 972-2712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
332900000X
Non-Pharmacy Dispensing Site
—
NULL
Other
Enumeration date
07/21/2006
Last updated
06/02/2016
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