Organization
NORTHERN MICHIGAN EMERGENCY PHYSICIANS, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHALIL A ATTIE MD (GROUP HEAD)
(231) 487-4000
Entity
Organization
Contact information
Practice address
416 CONNABLE AVE, ER DEPARTMENT, PETOSKEY, MI 49770-2212
(231) 487-4000
Mailing address
405 N DIVISION RD STE 1, PETOSKEY, MI 49770-9046
(231) 348-7900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010A510070
BCBS
MI
01
—
CI5296
RR MEDICARE
—
Enumeration date
05/28/2006
Last updated
12/11/2015
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