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N10561 Grand View Lane Ironwood MI 49938-9622 | |
(715) 847-2611 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | N10561 Grand View Lane, Ironwood, Michigan |
Authorized Official Name and Position | Jerry M Yang (SVP & CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7158472526 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | N10561 Grand View Lane Ironwood MI 49938-9622 Ph: (715) 847-2611 |
NPI Number | 1700214236 |
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Provider Enumeration Date | 10/18/2013 |
Last Update Date | 06/14/2024 |
Identifier | Type | State | Issuer |
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1700214236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Ashland Audiology Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N10565 Grandview Ln, Ironwood, MI 49938 Phone: 715-682-9311 Fax: 715-682-9313 | |