Organization
UPPER GREAT LAKES FAMILY HEALTH CENTER
Active
Other names
Menominee Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RAUTIO (CONTROLLER)
(906) 346-3202
Entity
Organization
Contact information
Practice address
135 E M35, GWINN, MI 49841-9160
(906) 346-3202
Mailing address
1110 10TH AVE, MENOMINEE, MI 49858-3058
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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