Organization
ERICKSON HEALTH MEDICAL GROUP OF MICHIGAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J NARRETT M.D. (VP AND CHIEF MEDICAL OFFICER)
(410) 402-2257
Entity
Organization
Contact information
Practice address
15101 FORD RD, DEARBORN, MI 48126-4611
(313) 582-2769
(313) 846-7708
Mailing address
5525 RESEARCH PARK DR, 4TH FLOOR, BALTIMORE, MD 21228-4664
(410) 402-2258
(410) 204-7279
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6141430002
DME
—
Enumeration date
01/12/2007
Last updated
09/01/2011
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