| Hnjh Provider Group 2 | |
|
502 W Harrie St Newberry MI 49868-1209 | |
| (906) 293-9200 | |
| (906) 293-9208 |
| Full Name | Hnjh Provider Group 2 |
|---|---|
| Speciality | Surgery |
| Location | 502 W Harrie St, Newberry, Michigan |
| Authorized Official Name and Position | Wayne P Hellerstedt (CEO) |
| Authorized Official Contact | 9062929247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hnjh Provider Group 2 502 W Harrie St Newberry MI 49868-1209 Ph: (906) 293-9200 | Hnjh Provider Group 2 502 W Harrie St Newberry MI 49868-1209 Ph: (906) 293-9200 |
| NPI Number | 1053458109 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053458109 | NPI | - | NPPES |
| 700D81000 | Other | MI | BCBS GROUP 2 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | 480020 (Michigan) | Primary |
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