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1711 S Stephenson Ave Ste 205 Iron Mountain MI 49801-3649 | |
(906) 774-1313 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1711 S Stephenson Ave Ste 205, Iron Mountain, Michigan |
Authorized Official Name and Position | Alicia R Henderson (PHYSICIAN BILLING SUPERVISOR) |
Authorized Official Contact | 9067741313 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 549 Iron Mountain MI 49801-0549 Ph: () - | 1711 S Stephenson Ave Ste 205 Iron Mountain MI 49801-3649 Ph: (906) 774-1313 |
NPI Number | 1417411760 |
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Provider Enumeration Date | 01/30/2019 |
Last Update Date | 02/08/2019 |
Identifier | Type | State | Issuer |
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1417411760 | 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 | |