Individual
KEVIN M OMILUSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
224 PARK AVE, FRANKFORT, MI 49635-9658
(231) 352-2990
Mailing address
224 PARK AVE, FRANKFORT, MI 49635-9658
(231) 352-2990
(231) 835-2534
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301065619
MI
Other
Enumeration date
06/21/2005
Last updated
11/23/2022
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