| Michigan-wisconsin Family Practice Associates, P.c. | |
|
1711 S Stephenson Ave Suite 300 Iron Mountain MI 49801-3650 | |
| (906) 774-1633 | |
| (906) 774-4451 |
| Full Name | Michigan-wisconsin Family Practice Associates, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1711 S Stephenson Ave, Iron Mountain, Michigan |
| Authorized Official Name and Position | Beth A Schroeder (OWNER) |
| Authorized Official Contact | 9067741633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan-wisconsin Family Practice Associates, P.c. 1711 S Stephenson Ave Suite 300 Iron Mountain MI 49801-3650 Ph: (906) 774-1633 | Michigan-wisconsin Family Practice Associates, P.c. 1711 S Stephenson Ave Suite 300 Iron Mountain MI 49801-3650 Ph: (906) 774-1633 |
| NPI Number | 1972605913 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 05/24/2023 |
| Medicare PECOS PAC ID | 2264404169 |
|---|---|
| Medicare Enrollment ID | O20040811000432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972605913 | NPI | - | NPPES |
| 43055200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Beth Schroeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184616013 PECOS PAC ID: 7719950922 Enrollment ID: I20040817000010 |
| Provider Name | Kristi R Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265480297 PECOS PAC ID: 7113987231 Enrollment ID: I20060727000023 |
| Provider Name | Karen M Steber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992725493 PECOS PAC ID: 3476654971 Enrollment ID: I20190116002699 |
| Provider Name | Sarah J Petschar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700426384 PECOS PAC ID: 7012344435 Enrollment ID: I20200225001592 |
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Marshfield Medical Center - Dickinson Obstetrics & Gynecology Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1721 S Stephenson Ave, Iron Mountain, MI 49801 Phone: 906-776-5982 | |
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