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Organization
UPPER GREAT LAKES FAMILY HEALTH CENTER
Active
Organization
UPPER GREAT LAKES FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD A SIMILA (CEO)
(906) 483-1325
Entity
Organization
Contact information
Practice address
1550 W QUINCY ST, HANCOCK, MI 49930-1223
(906) 482-3621
(906) 482-3676
Mailing address
1550 W QUINCY ST, HANCOCK, MI 49930-1223
(906) 482-3621
(906) 482-3676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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