# BARAGA COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pathologist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487758595
- **Authorized official:** MR. TIM ZWICKEY CEO (ADMINISTRATOR)
- **Authorized official phone:** (906) 524-3321

## Contact information

- **Practice address:** 18341 US HIGHWAY 41, LANSE, MI 49946-8024
- **Practice address phone:** (906) 524-3300
- **Practice address fax:** (906) 524-6218
- **Mailing address:** 18341 US HIGHWAY 41, LANSE, MI 49946-8024
- **Mailing address phone:** (906) 524-3300
- **Mailing address fax:** (906) 524-6218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 4301039795 | MI | Yes |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 03/28/2014
