Organization
UPPER GREAT LAKES FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY RAUTIO (FINANCIAL MANAGER)
(906) 346-3202
Entity
Organization
Contact information
Practice address
921 W SHARON AVE, HOUGHTON, MI 49931-1921
(906) 346-9667
(906) 346-9113
Mailing address
135 E M35, GWINN, MI 49841-9160
(906) 346-9668
(906) 346-9113
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MI
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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