# DUBOIS MEDICAL ENTERPRISES PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Eastside Family Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073534392
- **Authorized official:** DR. WILLIAM FREDERICK DUBOIS M.D. (OWNER)
- **Authorized official phone:** (231) 972-2710

## Contact information

- **Practice address:** 8540 105TH AVE, STANWOOD, MI 49346-9764
- **Practice address phone:** (231) 972-2710
- **Practice address fax:** (231) 972-2712
- **Mailing address:** 8540 105TH AVE, STANWOOD, MI 49346-9764
- **Mailing address phone:** (231) 972-2710
- **Mailing address fax:** (231) 972-2712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | — |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 06/02/2016