# EPMG OF MICHIGAN, P.C. (NURSE PRACTITIONERS)

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

## Provider details

- **NPI number:** 1427232024
- **Authorized official:** DR. RODNEY W. SMITH M.D. (TREASURER)
- **Authorized official phone:** (954) 838-2371

## Contact information

- **Practice address:** 5301 MCAULEY DR, YPSILANTI, MI 48197-1051
- **Practice address phone:** (800) 466-3764
- **Practice address fax:** (734) 995-2913
- **Mailing address:** 2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
- **Mailing address phone:** (954) 838-2371
- **Mailing address fax:** (734) 995-2913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2007
- **Last updated:** 09/12/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 500H111170 | BCBSM | MI |