Healthcare Provider Details

I. General information

NPI: 1164386298
Provider Name (Legal Business Name): APRIL M EMERICK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4775 VAN DYKE RD
BROWN CITY MI
48416-9478
US

IV. Provider business mailing address

4775 VAN DYKE RD
BROWN CITY MI
48416-9478
US

V. Phone/Fax

Practice location:
  • Phone: 810-318-6929
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License NumberK132069585778
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: