Organization
INTEGRATIVE SPECIALTY CARE OF NORTHERN MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE KAZMERS MD (CO-OWNER)
(231) 348-3800
Entity
Organization
Contact information
Practice address
3250 WOODS WAY, PETOSKEY, MI 49770-7628
(231) 348-3800
(877) 397-7480
Mailing address
3250 WOODS WAY, PETOSKEY, MI 49770-7628
(231) 348-3800
(877) 397-7480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301041105
MI
2083P0901X
Public Health & General Preventive Medicine Physician
4301041105
MI
2083P0901X
Public Health & General Preventive Medicine Physician
4301041254
MI
2086S0129X
Vascular Surgery Physician
4301041254
MI
Other
Enumeration date
04/04/2016
Last updated
04/06/2016
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