| Portage Medical Group | |
|
945 9th St Lake Linden MI 49945-1100 | |
| (906) 483-1030 | |
| (906) 296-0521 |
| Full Name | Portage Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 945 9th St, Lake Linden, 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 |
|---|---|
| Portage Medical Group 894 Campus Dr Ste. B Hancock MI 49930-1571 Ph: (906) 483-1128 | Portage Medical Group 945 9th St Lake Linden MI 49945-1100 Ph: (906) 483-1030 |
| NPI Number | 1386970481 |
|---|---|
| Provider Enumeration Date | 10/23/2009 |
| Last Update Date | 10/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386970481 | NPI | - | NPPES |
| 700C16002 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Michigan) | Primary |
Portage Physician Practices Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 9th St, Lake Linden, MI 49945 Phone: 906-483-1030 Fax: 906-296-0521 | |
Aspirus Keweenaw Lake Linden Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Calumet Street, Lake Linden, MI 49945 Phone: 906-296-5040 Fax: 906-296-1006 | |
Lake Linden Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 945 Ninth Street, Lake Linden, MI 49945 Phone: 906-483-1030 Fax: 906-483-1270 | |
Upper Great Lakes Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Calumet St, Lake Linden, MI 49945 Phone: 906-481-8571 Fax: 906-483-1394 |