Portage Physician Practices Inc | |
945 9th St Lake Linden MI 49945-1100 | |
(906) 483-1030 | |
(906) 296-0521 |
Full Name | Portage Physician Practices Inc |
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Speciality | Clinic/center - Rural Health |
Location | 945 9th St, Lake Linden, Michigan |
Authorized Official Name and Position | Monica Bowman (PRESIDENT) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Portage Physician Practices Inc 103 Powell Ct Brentwood TN 37027-5079 Ph: (615) 372-8500 | Portage Physician Practices Inc 945 9th St Lake Linden MI 49945-1100 Ph: (906) 483-1030 |
NPI Number | 1154758167 |
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Provider Enumeration Date | 10/04/2013 |
Last Update Date | 02/07/2023 |
Identifier | Type | State | Issuer |
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1154758167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |