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Organization

MACKINAC STRAITS HEALTH SYSTEM INC

Active
Other names
Mackinac Straits Hospital and Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
SONJA SPRAGUE (CREDENTIALING)
(906) 643-0451
Entity
Organization

Contact information

Practice address
1140 N STATE ST, SAINT IGNACE, MI 49781-1048
(906) 643-8585
(906) 643-0373
Mailing address
1140 N STATE ST, SAINT IGNACE, MI 49781-1048
(906) 643-8585
(906) 643-0373

Taxonomy

Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
208D00000X
General Practice Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
700D90255
BLUE SHIELD
MI
Enumeration date
07/24/2008
Last updated
12/10/2024
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