Organization
INDEPENDENT EMERGENCY PHYSICIANS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SUSIN MBA (BUSINESS MANAGER)
(248) 892-0715
Entity
Organization
Contact information
Practice address
205 NORTH EAST AVENUE, EMERGENCY DEPARTMENT, JACKSON, MI 49201
(517) 788-4800
Mailing address
PO BOX 100, ROYAL OAK, MI 48068-0100
(248) 849-3137
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1784233
MI
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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