LAKE SUPERIOR STATE UNIVERSITY

Family Medicine

Active Organization
NPI: 1467454199

Practice Address

650 W EASTERDAY AVE
Sault Sainte Marie, MI 49783

Phone: (906) 635-2110

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X No -
Physician Assistant 363A00000X No -
Family Medicine 207Q00000X Yes -

Frequently Asked Questions

NPI 1467454199 is the National Provider Identifier for LAKE SUPERIOR STATE UNIVERSITY, a Family Medicine provider located in Sault Sainte Marie, MI. This NPI was enumerated on August 12, 2005.

Quick Facts

NPI
1467454199
Type
Organization
Enumerated
Aug 12, 2005
Last Updated
Dec 12, 2008

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