| |
N10565 Grandview Ln Ironwood MI 49938-9622 | |
(906) 932-1500 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | N10565 Grandview Ln, Ironwood, Michigan |
Authorized Official Name and Position | Forrest Dean Danner (VP/COO) |
Authorized Official Contact | 7158472975 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1223 Wausau WI 54402-1223 Ph: (715) 847-2304 | N10565 Grandview Ln Ironwood MI 49938-9622 Ph: (906) 932-1500 |
NPI Number | 1821307323 |
---|---|
Provider Enumeration Date | 09/30/2010 |
Last Update Date | 09/30/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821307323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Wisconsin) | 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 | |