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Organization

ERICKSON HEALTH MEDICAL GROUP OF MICHIGAN PC

Active
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
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(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
363AM0700X
Medical Physician Assistant
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
0806365741
BCBS OF MI
01
110H217280
BCBS MI
01
1158217680
BCBS MI
05
1508886375
MI
Enumeration date
07/21/2006
Last updated
08/10/2023
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