# EPMG WESTERN MICHIGAN PLLC

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

## Provider details

- **NPI number:** 1750806345
- **Authorized official:** KAREN VINEYARD (OFFICER)
- **Authorized official phone:** (954) 838-2371

## Contact information

- **Practice address:** 1215 E MICHIGAN AVE, LANSING, MI 48912-1811
- **Practice address phone:** (734) 686-6322
- **Mailing address:** 13737 NOEL RD STE 1600, DALLAS, TX 75240-1374
- **Mailing address phone:** (954) 838-2371

## Taxonomy

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

## Other

- **Enumeration date:** 08/04/2017
- **Last updated:** 09/12/2019
