# INDIGO HOSPITAL MEDICINE - IRON MOUNTAIN PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194024042
- **Authorized official:** ANNE E MCMORROW (DIR. REIMBURSEMENT)
- **Authorized official phone:** (231) 346-6807

## Contact information

- **Practice address:** 1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3637
- **Practice address phone:** (906) 776-5415
- **Practice address fax:** (906) 776-5402
- **Mailing address:** 10850 E. TRAVERSE HWY., STE. 4400, TRAVERSE CITY, MI 49684-1320
- **Mailing address phone:** (231) 346-6800
- **Mailing address fax:** (231) 346-6052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2011
- **Last updated:** 12/22/2014