| Marshfield Medical Center - Dickinson Family Medicine | |
|
1711 S Stephenson Ave Ste 125 Iron Mountain MI 49801-3649 | |
| (906) 776-5810 | |
| Not Available |
| Full Name | Marshfield Medical Center - Dickinson Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1711 S Stephenson Ave Ste 125, Iron Mountain, Michigan |
| Authorized Official Name and Position | Kathleen Bressler (COO, AO) |
| Authorized Official Contact | 7159756018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshfield Medical Center - Dickinson Family Medicine 1000 N Oak Ave Attn: Provider Enrollment Services - Shp 2nd Fl Marshfield WI 54449-5703 Ph: (715) 389-0660 | Marshfield Medical Center - Dickinson Family Medicine 1711 S Stephenson Ave Ste 125 Iron Mountain MI 49801-3649 Ph: (906) 776-5810 |
| NPI Number | 1134166101 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 10/26/2023 |
| Medicare PECOS PAC ID | 6800784943 |
|---|---|
| Medicare Enrollment ID | O20100325000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134166101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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