Organization
IRON MOUNTAIN VAMC
Active
Other names
MANISTIQUE VA CBOC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
813 EAST LAKESHORE DRIVE, MANISTIQUE, MI 49854-1683
(608) 821-7200
(608) 821-7658
Mailing address
PO BOX 94484, CLEVELAND, OH 44101-4484
(608) 821-7200
(608) 821-7658
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
02/23/2023
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