Organization
ASPIRUS KEWEENAW
Active
Other names
Aspirus Keweenaw Medical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
LORI PECK (VP REVENUE CYCLE)
(715) 847-2988
Entity
Organization
Contact information
Practice address
301 WEST LAKESHORE DRIVE, HOUGHTON, MI 49931-2200
(906) 487-1710
(906) 487-9421
Mailing address
301 WEST LAKESHORE DRIVE, HOUGHTON, MI 49931-2200
(906) 487-1710
(906) 487-9421
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080C160340
BLUE CROSS & BLUE SHIELD
MI
Enumeration date
06/19/2006
Last updated
05/04/2021
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