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106 S School Rd Daggett MI 49821-8555 | |
(906) 753-2155 | |
(906) 753-2716 |
Full Name | |
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Speciality | Clinic/center |
Location | 106 S School Rd, Daggett, Michigan |
Authorized Official Name and Position | Kevin John Mcgurk (CONTROLLER) |
Authorized Official Contact | 9204457260 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1866 Green Bay WI 54305-1866 Ph: (920) 445-7222 | 106 S School Rd Daggett MI 49821-8555 Ph: (906) 753-2155 |
NPI Number | 1386149540 |
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Provider Enumeration Date | 03/28/2018 |
Last Update Date | 04/06/2022 |
Identifier | Type | State | Issuer |
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1386149540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |