| Ray S Koivunen, MD | |
|
1110 10th Ave, Menominee, MI 49858-3058 | |
| (906) 290-5000 | |
| (906) 863-2408 |
| Full Name | Ray S Koivunen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1110 10th Ave, Menominee, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548261969 | NPI | - | NPPES |
| 30118000 | Medicaid | WI | |
| 080036031 | Other | MI | RAILROAD MEDICARE |
| 2608388 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301038321 (Michigan) | Primary |
| Entity Name | Aspirus Iron River Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497750830 PECOS PAC ID: 5294648929 Enrollment ID: O20031110000264 |
| Mailing Address | Practice Location Address |
|---|---|
| Ray S Koivunen, MD 506 Campus Dr, Hancock, MI 49930-1569 Ph: (906) 290-5000 | Ray S Koivunen, MD 1110 10th Ave, Menominee, MI 49858-3058 Ph: (906) 290-5000 |
Dr. Harold P Crissinger, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 10th St, Menominee, MI 49858 Phone: 906-863-7897 | |
Dr. Louis James Cannella Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2009 10th St, Menominee, MI 49858 Phone: 906-863-8853 | |
Dr. Lucas Donald Schreiner, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1110 10th Ave Ste 101, Menominee, MI 49858 Phone: 906-863-1286 Fax: 906-779-7453 |