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814 South Ice Lake Road Iron River MI 49935 | |
(906) 265-9189 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 814 South Ice Lake Road, Iron River, Michigan |
Authorized Official Name and Position | Jerry M Yang (SVP & CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7158472526 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | 814 South Ice Lake Road Iron River MI 49935 Ph: (906) 265-9189 |
NPI Number | 1457865198 |
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Provider Enumeration Date | 11/16/2017 |
Last Update Date | 06/07/2024 |
Medicare PECOS PAC ID | 5294648929 |
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Medicare Enrollment ID | O20180220001348 |
Identifier | Type | State | Issuer |
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1457865198 | NPI | - | NPPES |
Northwoods Family Physical Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W Adams St, Iron River, MI 49935 Phone: 906-265-9000 Fax: 906-265-9009 | |