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Organization
INTERNAL MEDICINE OF NORTHERN MICHIGAN PLLC
Active
Organization
INTERNAL MEDICINE OF NORTHERN MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E FARRELL (PRACTICE ADMINISTRATOR)
(231) 487-2460
Entity
Organization
Contact information
Practice address
560 W MITCHELL ST, SUITE 300, PETOSKEY, MI 49770-2275
(231) 487-2460
(231) 487-6596
Mailing address
560 W MITCHELL ST, SUITE 300, PETOSKEY, MI 49770-2275
(231) 487-2460
(231) 487-6596
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/10/2006
Last updated
08/17/2011
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