Organization
DUBOIS MEDICAL ENTERPRISES PC
Active
Other names
Eastside Family Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM FREDERICK DUBOIS M.D. (OWNER)
(231) 972-2710
Entity
Organization
Contact information
Practice address
8540 105TH AVE, STANWOOD, MI 49346-9764
(231) 972-2710
(231) 972-2712
Mailing address
8540 105TH AVE, STANWOOD, MI 49346-9764
(231) 972-2710
(231) 972-2712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E46007
BCBS
MI
Enumeration date
07/21/2006
Last updated
06/02/2016
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