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Organization
WEXFORD MEDICAL GROUP
Active
Organization
WEXFORD MEDICAL GROUP
Active
Other names
GREAT LAKES FAMILY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ZDORODWSKI (ADMINISTRATOR)
(231) 876-6730
Entity
Organization
Contact information
Practice address
117 N ROLAND ST, MC BAIN, MI 49657-9683
(231) 825-2643
(231) 825-0161
Mailing address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 775-6521
(231) 876-6519
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
02/20/2008
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