Organization
ALPENA SURGICAL ASSOCIATES, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN GROHOWSKI (MANAGER)
(989) 354-5717
Entity
Organization
Contact information
Practice address
311 LONG RAPIDS PLZ, ALPENA, MI 49707-1375
(989) 354-5717
(989) 356-6526
Mailing address
PO BOX 535, ALPENA, MI 49707-0535
(989) 354-5717
(989) 356-6526
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH1975
RR MEDICARE
MI
Enumeration date
02/01/2007
Last updated
10/22/2007
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