Organization
NORTHERN PINES HEALTH CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITZIE J HEWITT DO (OWNER)
(231) 269-4185
Entity
Organization
Contact information
Practice address
11293 N M 37, SUITE A, BUCKLEY, MI 49620-9593
(231) 269-4185
(231) 269-4461
Mailing address
11293 N M 37, SUITE A, BUCKLEY, MI 49620-9593
(231) 269-4185
(231) 269-4461
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
305R00000X
Preferred Provider Organization
5101013101
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4513149
—
MI
Enumeration date
11/30/2005
Last updated
03/24/2021
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