Organization
TOWNSHIP OF ALMIRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DORT (TOWNSHIP CLERK)
(231) 275-5862
Entity
Organization
Contact information
Practice address
7276 OLE WHITE DR, LAKE ANN, MI 49650-9617
(231) 275-5862
Mailing address
7276 OLE WHITE DR, LAKE ANN, MI 49650-9617
(231) 275-5862
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
101004
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2779895
—
MI
01
—
590A000570
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/01/2006
Last updated
05/14/2012
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