Organization
WEST MICHIGAN EMERGENCY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD BUCHANAN MD (SECRETARY)
(231) 728-4601
Entity
Organization
Contact information
Practice address
1700 CLINTON ST, MUSKEGON, MI 49442-5502
(231) 728-4601
Mailing address
PO BOX 1487, MUSKEGON, MI 49443-1487
(231) 728-4601
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F16008
BCBS
MI
01
—
CK0030
RAILROAD MEDICARE
—
Enumeration date
07/10/2006
Last updated
05/12/2015
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