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Organization
EPMG OF MICHIGAN, P.C. (NURSE PRACTITIONERS)
Active
Organization
EPMG OF MICHIGAN, P.C. (NURSE PRACTITIONERS)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY W. SMITH M.D. (TREASURER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(800) 466-3764
(734) 995-2913
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
(954) 838-2371
(734) 995-2913
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500H111170
BCBSM
MI
Enumeration date
12/19/2007
Last updated
09/12/2019
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