Organization
ERICKSON HEALTH MEDICAL GROUP OF MICHIGAN PC
Active
Other names
Fox Run Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW J NARRETT M.D. (PRESIDENT)
(410) 402-2257
Entity
Organization
Contact information
Practice address
41100 FOX RUN, NOVI, MI 48377-4804
(248) 668-8650
(248) 668-8651
Mailing address
5525 RESEARCH PARK DR, 4TH FLOOR, BALTIMORE, MD 21228-4664
(248) 668-8650
(248) 668-8651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
213E00000X
Podiatrist
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
364SG0600X
Gerontology Clinical Nurse Specialist
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080636565741
BCBS OF MI
—
01
—
110H217280
BCBS MI
—
01
—
1158217680
BSBC MI
—
05
—
1508886375
—
MI
05
—
1942239686
—
MI
01
—
83-20307
EVERCARE
—
Enumeration date
07/21/2006
Last updated
04/21/2015
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