Sault Tribe of Chippewa Indians
NPI #1205004884 in Sault Sainte Marie, Michigan
Provider Information
- NPI Number
- 1205004884
- Entity Type
- Organization
- Organization Name
- Sault Tribe of Chippewa Indians
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Feb 15, 2008
- Last Updated
- Mar 20, 2009
Practice Location
- Address
- 2864 ASHMUN ST
- State
- Michigan
- ZIP Code
- 49783-3740
- Phone
- (906) 632-5200
Authorized Official
- Name
- BONNIE L CULFA
- Title
- DIVISION OF HEALTH DIRECTOR
- Phone
- (906) 632-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
| Nurse Practitioner - Family — Family |
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