Organization
BOYNE COUNTRY URGENT CARE P.C.
Active
Other names
Up North Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINEY GREEN (MANAGER)
(989) 732-3284
Entity
Organization
Contact information
Practice address
1951 S OTSEGO AVE, GAYLORD, MI 49735-8489
(989) 732-3284
(989) 732-6395
Mailing address
1951 S OTSEGO AVE, GAYLORD, MI 49735-8489
(989) 732-3284
(989) 732-6395
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080B410910
BLUE CROSS BLUE SHIELD GR
MI
Enumeration date
05/19/2006
Last updated
08/26/2024
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