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Organization

BAY MILLS INDIAN COMMUNITY

Active
Other names
BAY MILLS HEALTH CENTER, Bay Mills Health Center Optometry
Organization subpart
No

Provider details

NPI number
Authorized official
AUDREY BREAKIE (HHS DIRECTOR)
(906) 248-8327
Entity
Organization

Contact information

Practice address
12455 W LAKESHORE DR, BRIMLEY, MI 49715-9327
(906) 248-5527
(906) 248-5765
Mailing address
12455 W LAKESHORE DR, BRIMLEY, MI 49715-9327
(906) 248-5527
(906) 248-5765

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
12/29/2005
Last updated
11/29/2022
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