Organization
EM MED, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WHITESIDE M. D. (DIRECTOR)
(989) 894-3000
Entity
Organization
Contact information
Practice address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6831
(989) 894-3000
Mailing address
42536 HAYES RD, SUITE 800, CLINTON TOWNSHIP, MI 48038-6766
(586) 286-2600
(586) 286-3596
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301046418
MI
Other
Enumeration date
08/17/2006
Last updated
08/22/2020
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