St John North Shores Emergency Physicians, P. C.

Organization Active NPI Emergency Medicine Physician · Harrison Township, MI

NPI 1376613638 · NPPES record last updated Sep 24, 2008

Key facts

NPI
1376613638
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
ST JOHN NORTH SHORES EMERGENCY PHYSICIANS, P. C.
Practice address
26755 Ballard St
Emergency Department
Harrison Township, MI 48045-2419
Phone
(586) 465-5501
NPI assigned
Nov 8, 2006
Organization subpart
No

Authorized official

Name
Dr. James M Fox, M. D.
Title
Vice President
Phone
(800) 531-5788

Practitioners 1

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207P00000X Yes

Addresses

Primary practice location

26755 Ballard St
Emergency Department
Harrison Township, MI 48045-2419

Mailing address

17717 Masonic
Fraser, MI 48026-3158
Phone (800) 531-5788

Other providers in Harrison Township, MI

All providers in Harrison Township, MI · Emergency Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.