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Organization

MICHIGAN EMERGENCY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PADRAIC J. SWEENY M.D. (PRESIDENT)
(313) 745-3330
Entity
Organization

Contact information

Practice address
4201 SAINT ANTOINE ST, SUITE 3R, DETROIT, MI 48201-2153
(313) 745-3330
Mailing address
4201 SAINT ANTOINE ST, SUITE 3R, DETROIT, MI 48201-2153

Taxonomy

Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H21055
BCBS OF MICHIGAN
MI
Enumeration date
07/21/2006
Last updated
10/23/2007
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