Internal Medicine of Northern Michigan Laboratory

NPI #1801150453 in Petoskey, Michigan

Provider Information

NPI Number
1801150453
Entity Type
Organization
Organization Name
Internal Medicine of Northern Michigan Laboratory
Subpart
Yes (part of a larger organization)
Parent Organization
INTERNAL MEDICINE OF NORTHERN MICHIGAN
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jun 28, 2012
Last Updated
Jun 28, 2012

Practice Location

Address
560 W MITCHELL ST
Address 2
SUITE 300
ZIP Code
49770-2275
Phone
(231) 487-2460

Authorized Official

Name
MR. ROBERT FARRELL
Title
PRACTICE ADMINISTRATOR
Phone
(231) 487-9759

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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