Organization
DELTA-MENOMINEE DISTRICT HEALTH DEPARTMENT
Active
Other names
PUBLIC HEALTH, DELTA & MENOMINEE COUNTIES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R PETRASKY MD (HEALTH OFFICER & MEDICAL DIRECTOR)
(906) 786-8111
Entity
Organization
Contact information
Practice address
909 10TH AVE, MENOMINEE, MI 49858-3014
(906) 863-4451
(906) 863-7142
Mailing address
2920 COLLEGE AVE, ESCANABA, MI 49829-9597
(906) 786-4111
(906) 786-7004
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02149321
BCBS PIN
MI
Enumeration date
01/23/2007
Last updated
08/22/2020
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