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Organization
PUREHEALTH MEDICAL INC
Active
Organization
PUREHEALTH MEDICAL INC
Active
Other names
PUREHEALTH URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN PEEBLES (LEAD CREDENTIALING SPECIALIST)
(810) 230-0338
Entity
Organization
Contact information
Practice address
1723 W M 32 STE B, GAYLORD, MI 49735-9544
(248) 238-3666
Mailing address
1723 W M 32 STE B, GAYLORD, MI 49735-9544
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
10/26/2021
Last updated
03/04/2022
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