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1501 W Chisholm St Alpena MI 49707 | |
(989) 356-7390 | |
(989) 356-8013 |
Full Name | |
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Speciality | Psychologist - Clinical |
Location | 1501 W Chisholm St, Alpena, Michigan |
Authorized Official Name and Position | Charles Sherwin (PRESIDENT) |
Authorized Official Contact | 9893567245 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4000 Wellness Dr Midland MI 48670-0001 Ph: (989) 356-7390 | 1501 W Chisholm St Alpena MI 49707 Ph: (989) 356-7390 |
NPI Number | 1891862835 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 09/09/2022 |
Certification Date | 09/09/2022 |
Identifier | Type | State | Issuer |
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1891862835 | NPI | - | NPPES |
680Z405160 | Other | MI | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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