Epmg Downriver, Pllc (nurse Practitioners)

NPI #1073885695 in Wyandotte, Michigan

Provider Information

NPI Number: 1073885695
Entity Type: Organization
Organization Name: Epmg Downriver, Pllc (nurse Practitioners)
Primary Specialty: Nurse Practitioner
Enumeration Date: Jan 27, 2012
Last Updated: Sep 12, 2019

Practice Location

Address: 2333 BIDDLE AVE
City: Wyandotte
State: Michigan
ZIP Code: 48192-4668
Phone: (734) 246-6000

Authorized Official

Name: KATHLEEN KONDAS
Title: OFFICER
Phone: (954) 838-2371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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