Organization
LITTLE RIVER BAND OF OTTAWA INDIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARYL B WEVER (DIRECTOR OF HEALTH SERVICES)
(231) 398-6852
Entity
Organization
Contact information
Practice address
4905 HARVEY ST, NORTON SHORES, MI 49444-9763
(231) 655-3284
Mailing address
4905 HARVEY ST, NORTON SHORES, MI 49444-9763
(231) 655-3284
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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