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800 East Blvd Kingsford MI 49802-4436 | |
(906) 774-4000 | |
(906) 774-0088 |
Full Name | |
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Speciality | Family Medicine |
Location | 800 East Blvd, Kingsford, Michigan |
Authorized Official Name and Position | A. Gary Muller (CEO) |
Authorized Official Contact | 9062254774 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4602 Dept Carol Stream IL 60122-4602 Ph: (906) 774-4000 | 800 East Blvd Kingsford MI 49802-4436 Ph: (906) 774-4000 |
NPI Number | 1891065470 |
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Provider Enumeration Date | 01/12/2012 |
Last Update Date | 01/12/2012 |
Identifier | Type | State | Issuer |
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1891065470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |