| Emergency Physicians Inc Pc | |
|
300 68th St Se Grand Rapids MI 49548-6927 | |
| (616) 455-5000 | |
| Not Available |
| Full Name | Emergency Physicians Inc Pc |
|---|---|
| Speciality | General Practice |
| Location | 300 68th St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | John A Rupke (HEAD OF GROUP) |
| Authorized Official Contact | 6162424334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emergency Physicians Inc Pc 300 68th St Se Grand Rapids MI 49548-6927 Ph: (616) 455-5000 | Emergency Physicians Inc Pc 300 68th St Se Grand Rapids MI 49548-6927 Ph: (616) 455-5000 |
| NPI Number | 1114920550 |
|---|---|
| Provider Enumeration Date | 05/31/2005 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114920550 | NPI | - | NPPES |
| 1204981 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 4301026158 (Michigan) | Primary |
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