Northern Phototherapy Management Facility LLC
NPI #1831251982 in West Branch, Michigan
Provider Information
- NPI Number
- 1831251982
- Entity Type
- Organization
- Organization Name
- Northern Phototherapy Management Facility LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Dec 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 337 E HOUGHTON AVE
- Address 2
- SUITE 3
- City
- West Branch
- State
- Michigan
- ZIP Code
- 48661-1127
- Phone
- (989) 343-1000
Authorized Official
- Name
- JOSEPH J MARTINES
- Title
- OWNER
- Phone
- (989) 343-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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