Organization
INDEPENDENT EMERGENCY PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GERALD HALL MD (PRESIDENT/CEO)
(248) 536-2127
Entity
Organization
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3015
Mailing address
PO BOX 672363, DETROIT, MI 48267-2363
(248) 536-2127
(248) 893-6952
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F34341
BC/BS OF MICHIGAN
MI
Enumeration date
08/23/2006
Last updated
10/09/2025
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