Organization
PROFESSIONAL EMERGENCY CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BAUER MD (CMO)
(734) 632-0175
Entity
Organization
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2601
(888) 861-8740
Mailing address
38935 ANN ARBOR RD, LIVONIA, MI 48150-3397
(734) 632-0175
(888) 861-8740
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326235698
—
MI
01
—
700E014610
BCBS
MI
01
—
DB9172
RAILROAD MEDICARE
MI
Enumeration date
10/01/2007
Last updated
07/15/2014
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