Epmg Downriver PLLC

Organization Active NPI Emergency Medicine Physician · Wyandotte, MI

NPI 1093085441 · NPPES record last updated Jun 3, 2026

Key facts

NPI
1093085441
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
EPMG DOWNRIVER PLLC
Practice address
2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone
(954) 939-5000
Fax
(877) 250-6889
NPI assigned
Jan 3, 2012
Organization subpart
No

Authorized official

Name
Christopher Kennedy
Title
Authorized Official
Phone
(207) 807-9009

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 73

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 73

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120424000499 MI Part B Supplier - Clinic/Group Practice 6608038443 Receives reassigned benefits from 69 practitioners
Practice locations: Brownstown TWP, MI; Wyandotte, MI

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X Yes

Addresses

Primary practice location

2333 Biddle Ave
Wyandotte, MI 48192-4668

Mailing address

PO Box 782322
Philadelphia, PA 19178-2322
Phone (954) 939-5000

Other practice location 1

23050 West Rd
Brownstown Twp, MI 48183-1472
Phone (954) 939-5000

Other providers in Wyandotte, MI

All providers in Wyandotte, MI · Emergency Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.