Full Name | |
---|---|
Speciality | Family Medicine |
Location | 7742 North M 129, Pickford, Michigan |
Authorized Official Name and Position | David Jahn (CEO) |
Authorized Official Contact | 9066354460 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7742 North M 129 Pickford MI 49774 Ph: (906) 647-2218 | 7742 North M 129 Pickford MI 49774 Ph: (906) 647-2218 |
NPI Number | 1982772398 |
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Provider Enumeration Date | 12/01/2006 |
Last Update Date | 02/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982772398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301057132 (Michigan) | Primary |