Organization
SUPERIOR TRANSITIONAL CARE PLLC
Active
Other names
Great Lakes Caring
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND F HANSEN M.D. (MEMBER)
(517) 780-9500
Entity
Organization
Contact information
Practice address
900 COOPER ST, JACKSON, MI 49202-3398
(517) 780-9500
(517) 780-9700
Mailing address
900 COOPER ST, JACKSON, MI 49202-3398
(517) 780-9500
(517) 780-9700
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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