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Organization

BEACON THERAPIES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COREY PRANGER (CEO/PRESIDENT)
(218) 590-4603
Entity
Organization

Contact information

Practice address
10740 OLD US HIGHWAY 27 S, GAYLORD, MI 49735
(989) 448-2364
Mailing address
1150 ROSENBURG RD NE, KALKASKA, MI 49646-9643
(218) 590-4603

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
11/03/2021
Last updated
11/04/2021
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