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NPI Code Detail

MEDICARE: RIVER DISTRICT EMERGENCY PHYSICIANS, P.C.

MEDICARE: RIVER DISTRICT EMERGENCY PHYSICIANS, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1699720607
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVER DISTRICT EMERGENCY PHYSICIANS, P.C.
Provider Business Mailing Address
First Line : 17717 MASONIC
Second Line :
City : FRASER
State : MI
Zip : 48026-3158
Country : US
Telephone Number : 586-294-0600
Fax Number :
Provider Business Practice Location Address
First Line : 4100 RIVER RD
Second Line :
City : EAST CHINA
State : MI
Zip : 48054-2909
Country : US
Telephone Number : 810-329-7111
Fax Number :
Authorized Official
Title or Position : MANAGING DIRECTOR
Name : JAMES M. FOX
Credential : M.D.
Telephone Number : 248-642-9893
Provider Enumeration Date : 05/24/2006
Last Update Date : 10/17/2007

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Directions to “RIVER DISTRICT EMERGENCY PHYSICIANS, P.C. ” Practice Location

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