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Stuart Etengoff, DO
Emergency Medical Services (Emergency Medicine) Physician in Grand Blanc, Michigan
NPI 1326021213

Stuart Etengoff is a Emergency Medical Services (Emergency Medicine) Physician based in Palatine, MI and is specialized in Emergency Medical Services. Stuart Etengoff practices in Grand Blanc, MI and has the professional credentials of DO. The NPI Number for Stuart Etengoff is 1326021213 and holds a License No. 5101009547 (Michigan).

The current practice location address for Stuart Etengoff is 1 Genesys Pkwy, Grand Blanc, MI and can be reached out via phone at 810-606-6137.

Location: 1 Genesys Pkwy, Grand Blanc, MI, 60055-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326021213
Provider Name
Stuart Etengoff
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1 Genesys Pkwy, Grand Blanc, MI, 60055-0001
Phone Number
810-606-6137
Fax Number
Provider Enumeration Date
11/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3483706 05 MI
3483804 05 MI
3095035 05 MI
SE009547 01 BLUE CROSS BLUE SHIELD
P00113859 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1 Genesys Pkwy
City
Grand Blanc
State
Michigan
Zip
48439-8065
Phone Number
810-606-6137
Fax Number
person
Provider Business Mailing Address Details
Address
1 Genesys Pkwy
City
Grand Blanc
State
Michigan
Zip
48439-8065
Phone Number
810-606-6137
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
5101009547 (Michigan)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
5101009547 (Michigan)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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800-968-6866
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