Organization
EPMG OF MICHIGAN, P.C. (NURSE PRACTITIONERS)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY W. SMITH M.D. (TREASURER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(800) 466-3764
(734) 995-2913
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
(954) 838-2371
(734) 995-2913
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500H111170
BCBSM
MI
Enumeration date
12/19/2007
Last updated
09/12/2019
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