Bay Mills Indian Community
NPI #1457136418 in Sault Sainte Marie, Michigan
Provider Information
- NPI Number
- 1457136418
- Entity Type
- Organization
- Organization Name
- Bay Mills Indian Community
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BAY MILLS INDIAN COMMUNITY
- Primary Specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Enumeration Date
- Aug 29, 2023
- Last Updated
- Aug 29, 2023
Practice Location
- Address
- 204 E PORTAGE AVE
- State
- Michigan
- ZIP Code
- 49783-2054
- Phone
- (906) 248-8621
Authorized Official
- Name
- LUCY PARISH DEWILDT
- Title
- ASSISTANT HHS DIRECTOR
- Phone
- (906) 248-8372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
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