Organization
EMERGENCY HEALTH PARTNERS MUSKEGON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D GILLELEND DO (GROUP ADMINISTRATOR)
(616) 464-0074
Entity
Organization
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49443
(231) 739-9341
Mailing address
PO BOX 673397, DETROIT, MI 48267
(866) 898-7139
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700F111490
BCBS
MI
Enumeration date
06/08/2006
Last updated
03/03/2010
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