Organization
INDEPENDENT EMERGENCY PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN HARRIS M.D. (PRESIDENT)
(248) 849-3000
Entity
Organization
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
6033 COWELL RD, BRIGHTON, MI 48116-9109
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
049889
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500C813160
BC/BS OF MI
MI
Enumeration date
03/20/2009
Last updated
03/20/2009
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