Organization
HEALTHWISE MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA S KELLER FNP (OWNER)
(989) 358-8100
Entity
Organization
Contact information
Practice address
101 OXBOW DRIVE, HEALTHWISE MEDICAL CLINIC, ALPENA, MI 49707
(989) 358-8100
(989) 354-4979
Mailing address
101 OXBOW DRIVE, 1, ALPENA, MI 49707
(989) 358-8100
(989) 354-4979
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704177958
MI
363LF0000X
Family Nurse Practitioner
4704208256
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4975205
—
MI
05
—
49775199
—
MI
01
—
500Z410370
BCBS
—
Enumeration date
10/03/2006
Last updated
06/23/2016
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