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600 Macinnes Dr Houghton MI 49931-1144 | |
(906) 483-1860 | |
(906) 483-1815 |
Full Name | |
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Speciality | Family Medicine |
Location | 600 Macinnes Dr, 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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894 Campus Dr Ste B Hancock MI 49930-1571 Ph: (906) 483-1128 | 600 Macinnes Dr Houghton MI 49931-1144 Ph: (906) 483-1860 |
NPI Number | 1063748770 |
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Provider Enumeration Date | 10/30/2009 |
Last Update Date | 10/30/2009 |
Identifier | Type | State | Issuer |
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1063748770 | NPI | - | NPPES |
700C16002 | Other | MI | BCBSM |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (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 | |