Organization
ASPIRUS GRAND VIEW SERVICE CORPORATION
Active
Parent organization
ASPIRUS GRAND VIEW
Other names
Aspirus Grand View Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASPIRUS GRAND VIEW
Authorized official
MRS. CHARMAINE CHIANTELLO (CFO)
(906) 932-2525
Entity
Organization
Contact information
Practice address
N10561 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-2525
(906) 932-2290
Mailing address
N10565 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-1500
(906) 932-5630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02W43GR
BCBS MN
MN
05
—
32849900
—
WI
01
—
700B710030
BCBS OF MI
MI
Enumeration date
01/23/2008
Last updated
11/15/2010
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