| Widcorp Pc | |
|
125 N Pansy Street Ishpeming MI 49849-3015 | |
| (906) 485-5575 | |
| (906) 485-1260 |
| Full Name | Widcorp Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 125 N Pansy Street, Ishpeming, Michigan |
| Authorized Official Name and Position | James Edward Frounfelter (PRESIDENT) |
| Authorized Official Contact | 9064855575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Widcorp Pc 125 N Pansy Street Ishpeming MI 49849-3015 Ph: (906) 485-5575 | Widcorp Pc 125 N Pansy Street Ishpeming MI 49849-3015 Ph: (906) 485-5575 |
| NPI Number | 1073698445 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073698445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901016005 (Michigan) | Primary |
Brian E. Anderson, D.d.s., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N. Pansy St, Ishpeming, MI 49849 Phone: 906-485-5575 Fax: 906-485-1260 | |
Jean L Farbod Dds Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Pansy St, Ishpeming, MI 49849 Phone: 906-485-5575 | |
James E Frounfelter Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Pansy Street, Ishpeming, MI 49849 Phone: 906-485-5575 Fax: 906-485-1260 |