Organization
LIVONIA EMERGENCY PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(404) 450-4684
Entity
Organization
Contact information
Practice address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(954) 939-5000
(484) 342-5201
Mailing address
PO BOX 80314, PHILADELPHIA, PA 19101-1314
(954) 939-5000
(484) 342-5201
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/21/2020
Last updated
01/14/2025
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