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Organization

MARENISCO MEDICAL CLINIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM MAHLER MD (PRESIDENT)
(906) 787-2000
Entity
Organization

Contact information

Practice address
236 MAIN STREET, MARENISCO, MI 49947
(906) 787-2000
(906) 787-2292
Mailing address
PO BOX 139, MARENISCO, MI 49947-0139
(906) 787-2000
(906) 787-2292

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
02/12/2014
Last updated
02/12/2014
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