Full Name | |
---|---|
Speciality | Family Medicine |
Location | N7569 Spruce St, Autrain, Michigan |
Authorized Official Name and Position | Alexandra Geshrick (PATIENT BILLING REPRESENTATIVE) |
Authorized Official Contact | 9063870639 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1500 Sandpoint Rd Munising MI 49862-1406 Ph: (906) 387-4110 | N7569 Spruce St Autrain MI 49806 Ph: (906) 387-4110 |
NPI Number | 1205673241 |
---|---|
Provider Enumeration Date | 07/09/2024 |
Last Update Date | 07/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205673241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |