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8540 105th Ave Stanwood MI 49346-9764 | |
(231) 972-2710 | |
(231) 972-2712 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 8540 105th Ave, Stanwood, Michigan |
Authorized Official Name and Position | William Frederick Dubois (OWNER) |
Authorized Official Contact | 2319722710 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8540 105th Ave Stanwood MI 49346-9764 Ph: (231) 972-2710 | 8540 105th Ave Stanwood MI 49346-9764 Ph: (231) 972-2710 |
NPI Number | 1073534392 |
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Provider Enumeration Date | 07/21/2006 |
Last Update Date | 06/02/2016 |
Identifier | Type | State | Issuer |
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1073534392 | NPI | - | NPPES |
0E46007 | Other | MI | BCBS |