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Organization

EMERGENCY MED STAT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN BURSE (OPERATIONS MGR)
(810) 230-1208
Entity
Organization

Contact information

Practice address
G3538 FLUSHING RD, SUITE C, FLINT, MI 48504-4255
(810) 230-1208
(810) 230-1213
Mailing address
PO BOX 497, DAVISON, MI 48423-0497
(810) 230-1208
(810) 230-1213

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
251041
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4726255
MI
Enumeration date
10/31/2005
Last updated
08/22/2020
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