| Catherine A Kroll, Do,pc | |
|
135 E. M-35 Gwinn MI 49841 | |
| (906) 346-9275 | |
| Not Available |
| Full Name | Catherine A Kroll, Do,pc |
|---|---|
| Speciality | Family Medicine |
| Location | 135 E. M-35, Gwinn, Michigan |
| Authorized Official Name and Position | Catherine A Kroll (OWNER) |
| Authorized Official Contact | 9063469275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine A Kroll, Do,pc Po Box 1330 Gwinn MI 49841-1330 Ph: (906) 346-9275 | Catherine A Kroll, Do,pc 135 E. M-35 Gwinn MI 49841 Ph: (906) 346-9275 |
| NPI Number | 1457301319 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 05/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457301319 | NPI | - | NPPES |
| 0805210582 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| 104839571 | Medicaid | MI | |
| 085520052 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| 113395739 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101008621 (Michigan) | Primary |
Upper Great Lakes Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 135 East M 35, Gwinn, MI 49841 Phone: 906-346-9275 Fax: 906-372-3230 | |
Upper Great Lakes Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 E M35, Gwinn, MI 49841 Phone: 906-346-3202 | |
Upper Great Lakes Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Explorer Street, Gwinn, MI 49841 Phone: 906-346-4924 Fax: 906-372-3230 |