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2906 N Stephenson Ave Ste 3 Iron Mountain MI 49801-9360 | |
(906) 221-8500 | |
(906) 368-4351 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 2906 N Stephenson Ave Ste 3, Iron Mountain, Michigan |
Authorized Official Name and Position | Jonathan B Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | 2906 N Stephenson Ave Ste 3 Iron Mountain MI 49801-9360 Ph: (906) 221-8500 |
NPI Number | 1699425611 |
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Provider Enumeration Date | 03/24/2022 |
Last Update Date | 08/19/2022 |
Identifier | Type | State | Issuer |
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1699425611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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 | |