Organization
CHIPPEWA MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JAHN (PRESIDENT/CEO)
(906) 635-4460
Entity
Organization
Contact information
Practice address
510 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-1964
(906) 632-6013
Mailing address
510 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-1964
(906) 632-6013
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MI
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
Other
Enumeration date
08/23/2012
Last updated
02/06/2013
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