Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | W4243 M69, Felch, Michigan |
Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 9204457226 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 22487 Green Bay WI 54305-2487 Ph: (920) 445-7222 | W4243 M69 Felch MI 49831-9800 Ph: (906) 246-3800 |
NPI Number | 1790274553 |
---|---|
Provider Enumeration Date | 05/08/2018 |
Last Update Date | 05/08/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790274553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |