| |
12455 W Lakeshore Dr, Brimley, MI 49715-9327 | |
(906) 248-5527 | |
(906) 248-5765 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 12455 W Lakeshore Dr, Brimley, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952388175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
12455 W Lakeshore Dr, Brimley, MI 49715-9327 Ph: (906) 248-5527 | 12455 W Lakeshore Dr, Brimley, MI 49715-9327 Ph: (906) 248-5527 |