Organization
TRI-STARS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MANSON (BILLING AGENT)
(906) 786-2051
Entity
Organization
Contact information
Practice address
9425 00.25 RD, COOKS, MI 49817-9607
(906) 644-2488
Mailing address
828 SHERIDAN RD, ESCANABA, MI 49829-1531
(906) 786-2051
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
211001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4365547
—
MI
Enumeration date
12/19/2006
Last updated
06/22/2008
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