Organization
INTERNAL MEDICINE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN METZKE (BILLING MANAGER)
(989) 356-3485
Entity
Organization
Contact information
Practice address
105 ARBOR LN, ALPENA, MI 49707-1301
(989) 356-3485
(989) 356-6396
Mailing address
105 ARBOR LN, ALPENA, MI 49707-1301
(989) 356-3485
(989) 356-6396
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
HS024997
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MC034224
MI
207RP1001X
Pulmonary Disease Physician
Primary
JM059074
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110Z476020
BCBSM COMMON PROVIDER #
MI
Enumeration date
08/24/2005
Last updated
09/11/2025
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