| Fmc Iron Mountain 212 | |
|
212 E B St Iron Mountain MI 49801-3411 | |
| (906) 774-2990 | |
| Not Available |
| Full Name | Fmc Iron Mountain 212 |
|---|---|
| Speciality | Family Medicine |
| Location | 212 E B St, Iron Mountain, Michigan |
| Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9204457222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fmc Iron Mountain 212 212 E B St Iron Mountain MI 49801-3411 Ph: (906) 774-2990 | Fmc Iron Mountain 212 212 E B St Iron Mountain MI 49801-3411 Ph: (906) 774-2990 |
| NPI Number | 1558556985 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 04/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558556985 | NPI | - | NPPES |
| 21313800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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