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Organization

EPMG OHIO STATE INC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN VINEYARD CPMSM (DIRECTOR)
(734) 686-6322
Entity
Organization

Contact information

Practice address
225 ELYRIA ST, LODI, OH 44254-1031
(330) 948-1222
Mailing address
2000 GREEN RD., STE 300, ANN ARBOR, MI 48105
(734) 686-6322
(734) 995-3764

Taxonomy

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

Other

Enumeration date
03/22/2012
Last updated
03/11/2020
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