Organization
BARAGA COUNTY MEMORIAL HOSPITAL
Active
Other names
Pathologist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM ZWICKEY CEO (ADMINISTRATOR)
(906) 524-3321
Entity
Organization
Contact information
Practice address
18341 US HIGHWAY 41, LANSE, MI 49946-8024
(906) 524-3300
(906) 524-6218
Mailing address
18341 US HIGHWAY 41, LANSE, MI 49946-8024
(906) 524-3300
(906) 524-6218
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301039795
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Z71002
BCBS OF MICHIGAN GROUP
MI
Enumeration date
09/11/2006
Last updated
03/28/2014
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