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1711 S Stephenson Ave Ste 315 Iron Mountain MI 49801-3650 | |
(906) 776-5955 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1711 S Stephenson Ave Ste 315, Iron Mountain, Michigan |
Authorized Official Name and Position | Catherine Bukowski (CFO, AUTHORIZED OFFICIAL) |
Authorized Official Contact | 7153879370 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1000 N Oak Ave Provider Enrollment Services - Shp Fl 2 Marshfield WI 54449-5703 Ph: (715) 898-6208 | 1711 S Stephenson Ave Ste 315 Iron Mountain MI 49801-3650 Ph: (906) 776-5955 |
NPI Number | 1275839029 |
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Provider Enumeration Date | 01/26/2011 |
Last Update Date | 02/28/2023 |
Identifier | Type | State | Issuer |
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1275839029 | NPI | - | NPPES |
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 | |