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General NPI Number Information
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NPI Number | 1841324779
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Entity Type | Organization
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Legal Business Name | ACUTE CARE SPECIALISTS, PLLC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 12/01/2014
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Provider Practice Location Address
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Address Line | 960 MEADOW RIDGE DR
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City | HOLLAND
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State | MI
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Zip | 49424-6491
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Country | US
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Telephone | 313-641-0676
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Fax |
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Provider Business Mailing Address
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Address Line | 960 MEADOW RIDGE DR
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City | HOLLAND
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State | MI
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Zip | 49424-6491
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Country | US
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Telephone | 313-641-0676
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. DUANE FRANK WISK
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Credential | D.O.
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Telephone | 313-641-0676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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