Organization
PORTAGE PHYSICIAN PRACTICES INC
Active
Other names
UP Medical Group - Portage Express Care
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA BOWMAN (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
56720 CALUMET AVE STE B, CALUMET, MI 49913-1967
(906) 481-8952
(906) 337-4049
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
10/12/2023
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