| Two Brave Vikings Llc | |
|
409 N Mission St Mount Pleasant MI 48858-1825 | |
| (989) 294-2138 | |
| Not Available |
| Full Name | Two Brave Vikings Llc |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 409 N Mission St, Mount Pleasant, Michigan |
| Authorized Official Name and Position | Mindi Woodruff (OWNER) |
| Authorized Official Contact | 4808262771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Brave Vikings Llc Po Box 15 Mount Pleasant MI 48804-0015 Ph: () - | Two Brave Vikings Llc 409 N Mission St Mount Pleasant MI 48858-1825 Ph: (989) 294-2138 |
| NPI Number | 1780568352 |
|---|---|
| Provider Enumeration Date | 08/05/2025 |
| Last Update Date | 08/05/2025 |
| Certification Date | 08/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780568352 | NPI | - | NPPES |
| EMC0001010 | Other | MI | MICHIGAN MEDICAL LICENSE |
| 5315227009 | Other | MI | MICHIGAN CONTROLLED SUBSTANCE |
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