Organization
LITTLE RIVER BAND OF OTTAWA INDIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARYL B WEVER (DIRECTOR/PHYSICIAN)
(231) 398-6852
Entity
Organization
Contact information
Practice address
2840 ORCHARD HWY STE 2, MANISTEE, MI 49660-9781
(231) 398-6852
Mailing address
2840 ORCHARD HWY STE 2, MANISTEE, MI 49660-9781
(231) 398-6852
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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