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Organization
UPPER PENINSULA ASSOC. OF RURAL HEALTH SERVICES INC.
Active
Organization
UPPER PENINSULA ASSOC. OF RURAL HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA JAKSIC (MANAGER)
(906) 228-3655
Entity
Organization
Contact information
Practice address
220 W WASHINGTON ST STE 430, MARQUETTE, MI 49855-4346
(906) 228-3655
Mailing address
6150 GREELEY AVE NE, ROCKFORD, MI 49341-8061
(616) 204-9638
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
4704142802
MI
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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