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610 S Lincoln Rd Escanaba MI 49829-1215 | |
(906) 786-6488 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 610 S Lincoln Rd, Escanaba, Michigan |
Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 9204337864 |
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) 445-7226 | 610 S Lincoln Rd Escanaba MI 49829-1215 Ph: (906) 786-6488 |
NPI Number | 1245565878 |
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Provider Enumeration Date | 10/15/2009 |
Last Update Date | 10/18/2021 |
Identifier | Type | State | Issuer |
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1245565878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Bright Star Enterprises, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 12th Rd, Escanaba, MI 49829 Phone: 906-786-9391 | |