NPI | 1801218680 |
---|---|
Doing Business As | ST. MARY'S EMERGENCY ROOM PHYSICIAN GROUP |
Entity Type | Organization |
Authorized Contact | MICHAEL L. LONG Vice President 989-907-7599 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine |
Enumeration Date | 2014-01-13 |
Last Update Date | 2014-10-20 |