Organization
SUPERIOR FAMILY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAAK MART PAHN MD (DIRECTOR)
(906) 632-0370
Entity
Organization
Contact information
Practice address
550 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1899
(906) 632-0370
(906) 632-6373
Mailing address
550 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1899
(906) 632-0370
(906) 632-6373
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2114539
—
MI
01
—
OA71078
BLUE CROSS BLUE SHIELD GROUP PIN
—
Enumeration date
03/06/2012
Last updated
03/06/2012
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