Organization
ASPIRUS KEWEENAW
Active
Other names
Aspirus Laurium Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY M YANG (SVP & CHIEF FINANCIAL OFFICER)
(715) 847-2526
Entity
Organization
Contact information
Practice address
205 OSCEOLA STREET, LAURIUM, MI 49913-2134
(906) 337-6580
(906) 337-6562
Mailing address
205 OSCEOLA STREET, LAURIUM, MI 49913-2134
(906) 337-6580
(906) 337-6562
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
238551
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00108
BLUE CROSS
MI
Enumeration date
12/14/2006
Last updated
06/06/2024
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