Organization
MONROE EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GRIDER DO (PRESIDENT)
(616) 975-1845
Entity
Organization
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-4435
Mailing address
PO BOX 964, MONROE, MI 48161-0964
(616) 975-1845
(616) 975-1870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010E860260
BCBS
MI
01
—
CD0050
RAILROAD MEDICARE
—
Enumeration date
07/10/2006
Last updated
05/19/2008
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