Lac Vieux Desert Band of Lake Superior Chippewa Indians
NPI #1114071578 in Watersmeet, Michigan
Provider Information
- NPI Number
- 1114071578
- Entity Type
- Organization
- Organization Name
- Lac Vieux Desert Band of Lake Superior Chippewa Indians
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Sep 11, 2023
Practice Location
- Address
- N5241 US HIGHWAY 45
- City
- Watersmeet
- State
- Michigan
- ZIP Code
- 49969-0009
- Phone
- (906) 358-4588
Authorized Official
- Name
- JAMES WILLIAMS JR.
- Title
- LAC VIEUX DESERT TRIBAL CHAIRMAN
- Phone
- (906) 358-4577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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