Organization
EPMG OF MICHIGAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MCGILLICUDDY (AUTHORIZED OFFICIAL)
(617) 548-3555
Entity
Organization
Contact information
Practice address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(954) 939-5000
(877) 250-6889
Mailing address
PO BOX 782187, PHILADELPHIA, PA 19178-2187
(954) 939-5000
(877) 250-6889
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/15/2006
Last updated
04/16/2026
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