Organization
CLINICAL PRACTICE MANAGERS AND CONSULTANTS OF NORTHWEST MICHIGAN PLLC
Active
Other names
The Renaissance Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SOTERO URETA M.D. (PRESIDENT)
(231) 839-4359
Entity
Organization
Contact information
Practice address
112 JOHN STREET, LAKE CITY, MI 49601
(231) 839-4359
(231) 839-0223
Mailing address
PO BOX 213, CADILLAC, MI 49601-0213
(231) 775-6076
(231) 775-0027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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