Organization
MACKINAC STRAITS HOSPITAL AUTHORITY
Active
Other names
Mackinac Straits Hospital and Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY NELSON (CEO)
(906) 643-0455
Entity
Organization
Contact information
Practice address
220 BURDETTE ST, SAINT IGNACE, MI 49781-1712
(906) 643-8585
(906) 643-0373
Mailing address
220 BURDETTE ST, SAINT IGNACE, MI 49781-1712
(906) 643-8585
(906) 643-0373
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700D96239
BCBSM GROUP PRACTICE
MI
Enumeration date
12/18/2006
Last updated
07/16/2008
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