Organization
NORTHPORT MEDICAL CLINIC PLC
Active
Organization
NORTHPORT MEDICAL CLINIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK J EICHENLAMB PAC (OWNER)
(231) 386-5450
Entity
Organization
Contact information
Practice address
301 MILL STREET, NORTHPORT, MI 49670
(231) 386-5450
(231) 386-7192
Mailing address
PO BOX 907, NORTHPORT, MI 49670
(231) 386-5450
(231) 386-7192
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2006
Last updated
01/21/2009
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