| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 309 W Lake St, Alpena, Michigan |
| Authorized Official Name and Position | Nancy Spencer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9893580673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
309 W Lake St Alpena MI 49707-2216 Ph: (989) 358-3998 | 309 W Lake St Alpena MI 49707-2216 Ph: (989) 358-3998 |
| NPI Number | 1093090292 |
|---|---|
| Provider Enumeration Date | 10/19/2011 |
| Last Update Date | 05/23/2019 |
| Medicare PECOS PAC ID | 5991691958 |
|---|---|
| Medicare Enrollment ID | O20111128000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093090292 | NPI | - | NPPES |
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