Organization
CHARLEVOIX AREA HOSPITAL
Active
Parent organization
CHARLEVOIX AREA HOSPITAL
Other names
Charlevoix Surgeons
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLEVOIX AREA HOSPITAL
Authorized official
WILLIAM JACKSON (PRESIDENT)
(231) 547-8500
Entity
Organization
Contact information
Practice address
14695 PARK AVE, CHARLEVOIX, MI 49720-1929
(231) 547-2812
(231) 547-3067
Mailing address
14695 PARK AVE, CHARLEVOIX, MI 49720-1929
(231) 547-2812
(231) 547-3067
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301083744
MI
Other
Enumeration date
03/10/2009
Last updated
12/20/2011
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