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921 W Sharon Ave. Houghton MI 49931 | |
(906) 483-1000 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 921 W Sharon Ave., Houghton, Michigan |
Authorized Official Name and Position | James Bogan (CEO) |
Authorized Official Contact | 9064831500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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921 W Sharon Ave. Houghton MI 49931 Ph: (906) 483-1000 | 921 W Sharon Ave. Houghton MI 49931 Ph: (906) 483-1000 |
NPI Number | 1013247972 |
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Provider Enumeration Date | 12/28/2009 |
Last Update Date | 04/06/2010 |
Identifier | Type | State | Issuer |
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1013247972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 310020 (Michigan) | Primary |
Upper Great Lakes Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 W Sharon Ave, Houghton, MI 49931 Phone: 906-346-9667 Fax: 906-346-9113 | |