Organization
MICHIGAN MASONIC HOME
Active
Other names
Masonic Pathways
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L SHAW (HEALTH INFORMATION SERVICES/CLINIC)
(989) 466-3864
Entity
Organization
Contact information
Practice address
1200 WRIGHT AVE, ALMA, MI 48801-1133
(989) 466-3864
(989) 463-8921
Mailing address
1200 WRIGHT AVE, ALMA, MI 48801-1133
(989) 466-3864
(989) 463-8921
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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