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Organization

UPPER GREAT LAKES FAMILY HEALTH CENTER

Active
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Organization

UPPER GREAT LAKES FAMILY HEALTH CENTER

Active
Other names
UGL MSU Tele-Psychiatry
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA GAFFNEY (BUSINESS OFFICE DIRECTOR)
(906) 481-8585
Entity
Organization

Contact information

Practice address
965 FEE RD RM A229, EAST LANSING, MI 48824-6410
(906) 483-1177
(906) 481-3094
Mailing address
301 EXPLORER ST, GWINN, MI 49841-2813
(906) 481-8586
(906) 483-1394

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
01/11/2018
Last updated
06/19/2024
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