Basic Information
| Provider Information | |||||||||
| NPI: | 1588921357 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HEMINGWAY | ||||||||
| FirstName: | ERIK | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1215 E. MICHIGAN AVE., 7TH FL TOWER | ||||||||
| Address2: | |||||||||
| City: | LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 489121811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5173643380 | ||||||||
| FaxNumber: | 5173643399 | ||||||||
| Practice Location | |||||||||
| Address1: | 1215 E. MICHIGAN AVE., 7TH FL TOWER | ||||||||
| Address2: | |||||||||
| City: | LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 489121811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5173643380 | ||||||||
| FaxNumber: | 5173643399 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2012 | ||||||||
| LastUpdateDate: | 02/10/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208M00000X | 86984 | GA | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 4301109119 | MI | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.