Healthcare Provider Details

I. General information

NPI: 1316968191
Provider Name (Legal Business Name): MICHIGAN EMERGENCY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 SAINT ANTOINE ST SUITE 3R
DETROIT MI
48201-2153
US

IV. Provider business mailing address

4201 SAINT ANTOINE ST SUITE 3R
DETROIT MI
48201-2153
US

V. Phone/Fax

Practice location:
  • Phone: 313-745-3330
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PT0002X
TaxonomyMedical Toxicology (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PADRAIC J. SWEENY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 313-745-3330