Organization
MANCELONA FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA RAE URQUHART (ADMINISTRATIVE ASSISTANT)
(231) 587-9181
Entity
Organization
Contact information
Practice address
419 W STATE ST, MANCELONA, MI 49659
(231) 587-9181
(231) 587-0923
Mailing address
PO BOX 769, MANCELONA, MI 49659-0769
(231) 587-9181
(231) 587-0923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MI
Other
Enumeration date
08/19/2006
Last updated
12/19/2018
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