Community Memorial Hospital

NPI #1760571038 in Cheboygan, Michigan

Provider Information

NPI Number: 1760571038
Entity Type: Organization
Organization Name: Community Memorial Hospital
Primary Specialty: Physician Assistant
Enumeration Date: Oct 12, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 748 S MAIN ST
City: Cheboygan
State: Michigan
ZIP Code: 49721-2220
Phone: (231) 627-1438

Authorized Official

Name: TED P ANDERSON
Title: VICE PRESIDENT/FINANCE
Phone: (231) 627-1203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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