Organization
THUNDER BAY CLINIC MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE E HARDIES (OFFICE MANAGER)
(989) 354-0607
Entity
Organization
Contact information
Practice address
1065 US 23 NORTH, ALPENA, MI 49707
(989) 354-0607
(989) 356-6710
Mailing address
1065 US 23 NORTH, ALPENA, MI 49707
(989) 354-0607
(989) 356-6710
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
BB012930
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3438729
—
MI
Enumeration date
03/29/2006
Last updated
06/25/2010
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