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Organization
TAWAS BAY FAMILY PRACTICE PC
Active
Organization
TAWAS BAY FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE HEILIG (MA)
(989) 362-5688
Entity
Organization
Contact information
Practice address
541 W LAKE ST, TAWAS CITY, MI 48763-5105
(989) 362-3447
Mailing address
PO BOX 369, TAWAS CITY, MI 48764-0369
(989) 362-3447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301033122
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080012620 L0601
BLUE CARE NETWORK
MI
01
—
0803518971
BCBSM
MI
01
—
16056
BLUE CROSS BLUE SHIELD FACILITY
MI
01
—
2897941
MOLINA HEALTHCARE
MI
05
—
2897941
—
MI
01
—
CC00000010
HEALTH PLUS
MI
Enumeration date
02/23/2006
Last updated
03/27/2012
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