Organization
DISTRICT HEALTH DEPARTMENT NO. 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON BOHLEN (HEALTH OFFICER)
(989) 343-1800
Entity
Organization
Contact information
Practice address
630 PROGRESS ST, WEST BRANCH, MI 48661-8603
(989) 345-5020
Mailing address
630 PROGRESS ST, WEST BRANCH, MI 48661-8603
(989) 345-5020
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
0000009
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008766930
BCBS WHC
MI
Enumeration date
11/30/2007
Last updated
11/30/2007
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