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1721 S Stephenson Ave Iron Mountain MI 49801-3637 | |
(906) 774-1313 | |
(906) 776-5639 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1721 S Stephenson Ave, Iron Mountain, 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 |
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Po Box 22487 Green Bay WI 54305-2487 Ph: (920) 445-7222 | 1721 S Stephenson Ave Iron Mountain MI 49801-3637 Ph: (906) 774-1313 |
NPI Number | 1972091106 |
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Provider Enumeration Date | 04/24/2018 |
Last Update Date | 04/24/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972091106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Indigo Hospital Medicine - Iron Mountain Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1721 S Stephenson Ave, Iron Mountain, MI 49801 Phone: 906-776-5415 Fax: 906-776-5402 | |