Organization
ASPIRUS KEWEENAW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI PECK (VP REVENUE CYCLE)
(715) 847-2988
Entity
Organization
Contact information
Practice address
205 OSCEOLA ST, LAURIUM, MI 49913-2134
(906) 337-6580
(906) 337-6582
Mailing address
205 OSCEOLA ST, LAURIUM, MI 49913-2134
(906) 337-6580
(906) 337-6582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0M28290
MI
207RH0003X
Hematology & Oncology Physician
0M28290
MI
207VE0102X
Reproductive Endocrinology Physician
0M28290
MI
207X00000X
Orthopaedic Surgery Physician
0M28290
MI
208100000X
Physical Medicine & Rehabilitation Physician
0M28290
MI
208600000X
Surgery Physician
0M28290
MI
208800000X
Urology Physician
0M28290
MI
Other
Enumeration date
07/23/2013
Last updated
05/04/2021
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