Healthcare Provider Details
I. General information
NPI: 1952889651
Provider Name (Legal Business Name): EMERGENCY MEDICINE SOLUTIONS PLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2018
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1465 E PARKDALE AVE
MANISTEE MI
49660-9709
US
IV. Provider business mailing address
4614 S LABADIE
MILFORD MI
48380-3026
US
V. Phone/Fax
- Phone: 231-398-1000
- Fax: 231-398-1509
- Phone: 248-245-6129
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HAO
NGUYEN
Title or Position: OWNER
Credential: DO
Phone: 248-245-6129