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440 Woodward Ave Iron Mountain MI 49801-4631 | |
(906) 776-9040 | |
(906) 774-7279 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 440 Woodward Ave, Iron Mountain, Michigan |
Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 9204457226 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 22040 Green Bay WI 54305-2040 Ph: (920) 445-7222 | 440 Woodward Ave Iron Mountain MI 49801-4631 Ph: (906) 776-9040 |
NPI Number | 1205287604 |
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Provider Enumeration Date | 06/27/2016 |
Last Update Date | 07/10/2019 |
Identifier | Type | State | Issuer |
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1205287604 | NPI | - | NPPES |
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