Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Independent Emergency Physicians PC

Organization Physician Assistant · NPI 1700136520

Independent Emergency Physicians PC is a Physician Assistant in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 N East Avenue Emergency Dept
Jackson, MI 49201
Phone: (517) 788-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1784233 (MI)

Record details

NPI number1700136520
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Susin — Business Manager · (248) 892-0715
NPI enumeratedSeptember 19, 2012
Last updated in NPPESSeptember 19, 2012
Mailing addressPo Box 100, Royal Oak, MI 48068-0100

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