Organization
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M SELLA (VICE PRESIDENT FINANCE, CFO)
(231) 924-1347
Entity
Organization
Contact information
Practice address
212 S SULLIVAN AVE, FREMONT, MI 49412-1548
(231) 924-3300
Mailing address
212 S SULLIVAN, FREMONT, MI 49412
(231) 924-3300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101044973
MI
Other
Enumeration date
06/01/2005
Last updated
02/14/2011
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