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Superior Walk-In Center, PC

Family Medicine in Munising, MI. Organization (NPI-2).

NPI number1669575148
StatusActive
Last updated in NPPESApr 20, 2008

Details

NPI
1669575148
Entity type
Organization (NPI-2)
Legal business name
Superior Walk-In Center, PC
Organization subpart
No
Enumeration date
Sep 7, 2006
Last updated
Apr 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine4301058344MIYes

Practice location

1504 Sand Point Road
Munising, MI 49862

Phone 906-387-4220 · Fax 906-387-5449

Mailing address

1504 Sand Point Road
Munising, MI 49862

Phone 906-387-4220 · Fax 906-387-5449

Authorized official

Kurt Richard Olson
President
9063874220

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