| Lake Superior State University | |
|
650 W Easterday Ave Sault Sainte Marie MI 49783-1656 | |
| (906) 635-2110 | |
| Not Available |
| Full Name | Lake Superior State University |
|---|---|
| Speciality | Family Medicine |
| Location | 650 W Easterday Ave, Sault Sainte Marie, Michigan |
| Authorized Official Name and Position | Kenneth Peress (VICE PRESIDENT STUDENT AFFAIRS) |
| Authorized Official Contact | 9066352634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Superior State University 650 W Easterday Ave Sault Sainte Marie MI 49783-1656 Ph: (906) 635-2110 | Lake Superior State University 650 W Easterday Ave Sault Sainte Marie MI 49783-1656 Ph: (906) 635-2110 |
| NPI Number | 1467454199 |
|---|---|
| Provider Enumeration Date | 08/12/2005 |
| Last Update Date | 12/12/2008 |
| Medicare PECOS PAC ID | 9335193960 |
|---|---|
| Medicare Enrollment ID | O20050308000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467454199 | NPI | - | NPPES |
| Provider Name | Jonathan Sommers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982010864 PECOS PAC ID: 1355568437 Enrollment ID: I20140813002079 |
St. Marys Medical Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 943 E Portage Ave, Sault Sainte Marie, MI 49783 Phone: 906-632-7878 | |
Phillip W. Niemi, D.o.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Osborn Blvd, Suite #202, Sault Sainte Marie, MI 49783 Phone: 906-632-1100 Fax: 906-632-7768 | |
Sault Tribe Of Chippewa Indians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2864 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-632-5200 Fax: 906-632-5276 | |
Eero J. Ranta, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 550 Osborn Blvd, Suite 204, Sault Sainte Marie, MI 49783 Phone: 906-632-6823 Fax: 906-632-7755 | |
Chippewa Medical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-632-6013 | |
Mymichigan Medical Center Sault Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 560 Osborn Blvd, Sault Sainte Marie, MI 49783 Phone: 906-632-1800 | |
Joseph M. Garlinghouse Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Magazine St, Suite 102, Sault Sainte Marie, MI 49783 Phone: 906-253-9374 Fax: 906-253-9002 |