Individual
DR. JAMES S. DEMOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
125 S KALAMAZOO MALL, SUITE 204, KALAMAZOO, MI 49007-4832
(269) 343-3900
(269) 343-5640
Mailing address
125 S KALAMAZOO MALL, SUITE 204, KALAMAZOO, MI 49007-4832
(269) 343-3900
(269) 343-5640
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101012280
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C910950
BCBSM
MI
05
—
11/4247463
—
MI
05
—
11/4687101
—
MI
05
—
1194766469
—
MI
Enumeration date
06/09/2006
Last updated
03/24/2010
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