Organization
ATKINSON EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PROVASNIK (SUPERVISOR OF PROVIDER ENROLLMENT)
(800) 355-0808
Entity
Organization
Contact information
Practice address
1 N ATKINSON DR, LUDINGTON, MI 49431-1906
(231) 843-2591
Mailing address
PO BOX 41600, PHILADELPHIA, PA 19101-1600
(231) 843-2591
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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