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Organization
UPPER PENINSULA ASSOCIATION OF RURAL HEALTH SERVICES, INC.
Active
Organization
UPPER PENINSULA ASSOCIATION OF RURAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA M JASKIC (EXECUTIVE DIRECTOR)
(906) 228-3613
Entity
Organization
Contact information
Practice address
220 W WASHINGTON ST, SUITE 430, MARQUETTE, MI 49855-4359
(906) 228-3613
(906) 228-3656
Mailing address
220 W WASHINGTON ST, SUITE 430, MARQUETTE, MI 49855-4359
(906) 228-3613
(906) 228-3656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700E26016
BCBS
MI
01
—
D802405
BCBS
MI
Enumeration date
08/21/2006
Last updated
05/14/2008
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