| North Shore Internal Medicine | |
|
2420 1st Ave S Escanaba MI 49829-1309 | |
| (906) 786-1563 | |
| (906) 786-8914 |
| Full Name | North Shore Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2420 1st Ave S, Escanaba, Michigan |
| Authorized Official Name and Position | A. Gary Muller (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9062254821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Internal Medicine 4602 Dept Carol Stream IL 60122-0021 Ph: (906) 225-4821 | North Shore Internal Medicine 2420 1st Ave S Escanaba MI 49829-1309 Ph: (906) 786-1563 |
| NPI Number | 1336163799 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 04/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336163799 | NPI | - | NPPES |
| 0B11007 | Other | MI | BLUE CROSS BLUE SHIELD GR |
| CB9574 | Other | MI | RAILROAD MEDICARE |
| CC6305 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301068941 (Michigan) | Primary |
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