Independent Emergency Physicians P.c.

NPI #1700136520 in Jackson, Michigan

Provider Information

NPI Number: 1700136520
Entity Type: Organization
Organization Name: Independent Emergency Physicians P.c.
Primary Specialty: Physician Assistant
Enumeration Date: Sep 19, 2012
Last Updated: Sep 19, 2012

Practice Location

Address: 205 NORTH EAST AVENUE
Address 2: EMERGENCY DEPARTMENT
City: Jackson
State: Michigan
ZIP Code: 49201
Phone: (517) 788-4800

Authorized Official

Name: JULIE SUSIN, MBA
Title: BUSINESS MANAGER
Phone: (248) 892-0715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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