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Organization
PORTAGE HEALTH INC
Active
Organization
PORTAGE HEALTH INC
Active
Other names
PORTAGE HEALTH EXPRESS CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BOGAN (CEO)
(906) 483-1500
Entity
Organization
Contact information
Practice address
921 W SHARON AVE., HOUGHTON, MI 49931
(906) 483-1000
Mailing address
921 W SHARON AVE., HOUGHTON, MI 49931
(906) 483-1000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
310020
MI
Other
Enumeration date
12/28/2009
Last updated
04/06/2010
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