institution
Grand Lake Health Center Llc
Family Nurse Practitioner in Alpena, Michigan
NPI 1669712907

Grand Lake Health Center Llc is a Family Nurse Practitioner based in Alpena, MI and is specialized in Family. Grand Lake Health Center Llc practices in Alpena, MI. The NPI Number for Grand Lake Health Center Llc is 1669712907 and holds a License No. 4704151039 (Michigan).

The current practice location address for Grand Lake Health Center Llc is 1691 M 32 W, Alpena, MI and can be reached out via phone at 989-354-0860 and via fax at 989-354-0880.

Location: 1691 M 32 W, Alpena, MI, 49707-8210
institution
Provider Profile Details
NPI Number
1669712907
Provider Name
Grand Lake Health Center Llc
Credential
Provider Entity Type
Organization
Address
1691 M 32 W, Alpena, MI, 49707-8210
Phone Number
989-354-0860
Fax Number
989-354-0880
Provider Enumeration Date
02/24/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11905624 01 MI CAQH
0870556 01 MI BCBSM
500027624 01 MI RAILROAD MEDICARE
7000525321 01 MI PRIORITY HEALTH
4485877 05 MI
institution
Provider Business Practice Location Address Details
Address
1691 M 32 W
City
State
Zip
49707-8210
Phone Number
989-354-0860
Fax Number
989-354-0880
person
Provider Business Mailing Address Details
Address
1691 M 32 W
City
State
Zip
49707-8210
Phone Number
989-354-0860
Fax Number
989-354-0880
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704151039 (Michigan)
Definition
Definition to come...
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