Individual
DR. ERIC ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5900 BYRON CENTER AVE, WYOMING, MI 49519
(616) 252-7123
Mailing address
CERTIFIED EMERGENCY MEDICINE SPECIALISTS PC, P O BOX 2184, GRAND RAPIDS, MI 49501-2184
(616) 363-7867
(616) 363-9432
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
EA014341
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4510826
—
MI
01
—
EA014341
MI PHYSICIAN LICENSE ID
MI
01
—
P00011717
RAILROAD MEDICARE
MI
Enumeration date
02/15/2006
Last updated
08/27/2009
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