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Organization

MICHIGAN EMERGENCY PHYSICIANS LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DERIK K KING MD (LLP MANAGING PARTNER)
(866) 916-5259
Entity
Organization

Contact information

Practice address
515 QUARTER ST, GLADWIN, MI 48624-1959
(989) 426-9286
(989) 246-6400
Mailing address
75 REMITTANCE DRIVE, SUITE 1122, CHICAGO, IL 60675-1122
(866) 916-5259
(231) 922-4030

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437390754
MI
01
700G500040
BLUE SHIELD
MI
Enumeration date
03/17/2009
Last updated
07/21/2009
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