Organization
UPPER PENINSULA ASSOC. OF RURAL HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA JAKSIC (MANAGER)
(906) 228-3655
Entity
Organization
Contact information
Practice address
220 W WASHINGTON ST STE 430, MARQUETTE, MI 49855-4346
(906) 228-3655
Mailing address
6150 GREELEY AVE NE, ROCKFORD, MI 49341-8061
(616) 204-9638
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
4704142802
MI
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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