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440 Woodward Ave Iron Mountain MI 49801-4631 | |
(920) 445-7226 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 440 Woodward 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 | 440 Woodward Ave Iron Mountain MI 49801-4631 Ph: (920) 445-7226 |
NPI Number | 1790045078 |
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Provider Enumeration Date | 05/21/2012 |
Last Update Date | 02/26/2020 |
Identifier | Type | State | Issuer |
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1790045078 | NPI | - | NPPES |
23D2044182 | Other | MI | CLIA CERT |
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 | |