Organization
EMERGENCY PHYSICIANS INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A RUPKE MD (HEAD OF GROUP)
(616) 242-4334
Entity
Organization
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301026158
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1204981
—
MI
Enumeration date
05/31/2005
Last updated
08/21/2007
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