| Upper Great Lakes Family Health Center | |
| 
					135 E M35 Gwinn MI 49841-9160  | |
| (906) 346-3202 | |
| Not Available | 
| Full Name | Upper Great Lakes Family Health Center | 
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) | 
| Location | 135 E M35, Gwinn, Michigan | 
| Authorized Official Name and Position | Wendy Rautio (CONTROLLER) | 
| Authorized Official Contact | 9063463202 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Upper Great Lakes Family Health Center 1110 10th Ave Menominee MI 49858-3058 Ph: () -  | Upper Great Lakes Family Health Center 135 E M35 Gwinn MI 49841-9160 Ph: (906) 346-3202  | 
| NPI Number | 1295159788 | 
|---|---|
| Provider Enumeration Date | 02/05/2014 | 
| Last Update Date | 02/05/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295159788 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | 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  | |
Catherine A Kroll, Do,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 E. M-35, Gwinn, MI 49841 Phone: 906-346-9275  | |
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  |