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Organization

PACE NORTHEAST MICHIGAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFERY MEDEN (EXECUTIVE DIRECTOR)
(989) 204-8210
Entity
Organization

Contact information

Practice address
2676 US HIGHWAY 23 S, ALPENA, MI 49707-4620
(989) 358-4833
(989) 963-4968
Mailing address
2676 US HIGHWAY 23 S, ALPENA, MI 49707-4620
(989) 358-4833
(989) 963-4968

Taxonomy

Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary

Other

Enumeration date
09/26/2025
Last updated
09/26/2025
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