# CERTIFIED EMERGENCY MEDICINE SPECIALISTS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104985001
- **Authorized official:** MRS. SONYA D WILSON (PROVIDER CREDENTIALING)
- **Authorized official phone:** (616) 363-7867

## Contact information

- **Practice address:** 5900 BYRON CENTER AVE SW, WYOMING, MI 49519
- **Practice address phone:** (616) 363-7867
- **Practice address fax:** (616) 363-9432
- **Mailing address:** PO BOX 72011, CLEVELAND, OH 44192-0002
- **Mailing address phone:** (616) 363-7867
- **Mailing address fax:** (616) 363-9432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | MI | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 03/14/2017