Organization
BOYNE COUNTRY URGENT CARE P.C.
Active
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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