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Organization

TOWNSHIP OF GREEN LAKE GRAND TRAVERSE COUNTY

Active
Other names
Township of Green Lake
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL STINSON (FIRE CAPTAIN)
(231) 276-6297
Entity
Organization

Contact information

Practice address
9394 10TH ST, INTERLOCHEN, MI 49643
(231) 276-6297
(231) 276-9388
Mailing address
PO BOX 747, WHEELING, IL 60090-0747
(800) 244-2345
(800) 329-5274

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
281005
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0B80013
BLUE CROSS BLUE SHIELD
MI
01
26364
PRIORITY HEALTH
MI
05
3295644
MI
Enumeration date
01/17/2007
Last updated
11/22/2016
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