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Organization

UPPER PENINSULA REHABILITATION MEDICINE ASSOCIATES P.C.

Active
Other names
U P Rehabilitation Medicine Associates PC
Organization subpart
No

Provider details

NPI number
Authorized official
LOUIS OSTOLA MD (PRESIDENT)
(906) 225-3914
Entity
Organization

Contact information

Practice address
580 WEST BARAGA AVENUE SUITE 30, MARQUETTE, MI 49855
(906) 225-3914
(906) 225-4583
Mailing address
580 WEST BARAGA AVENUE SUITE 30, MARQUETTE, MI 49855
(906) 225-3914
(906) 225-4583

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
250E26047
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
10/06/2006
Last updated
07/31/2019
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