Organization
EPI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HARRIS (PRESIDENT)
(231) 652-2500
Entity
Organization
Contact information
Practice address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(231) 652-2500
Mailing address
PO BOX 30516, DEPT 4006, LANSING, MI 48909-8016
(231) 652-2500
(231) 652-1452
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G06256
BCBS
MI
01
—
CN0715
RAILROAD MEDICARE
—
Enumeration date
05/22/2006
Last updated
03/11/2021
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