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Organization

UPPER PENINSULA SPORTS MEDICINE & THERAPY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN MICHAEL PHILLIPS P.T. (PHYSICAL THERAPIST)
(906) 228-2595
Entity
Organization

Contact information

Practice address
1414 W FAIR AVE, SUITE 101, MARQUETTE, MI 49855-2675
(906) 228-2595
(906) 228-3313
Mailing address
1414 W FAIR AVE, SUITE 101, MARQUETTE, MI 49855-2675
(906) 228-2595
(906) 228-3313

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
01/09/2007
Last updated
08/22/2020
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