Healthcare Provider Details

I. General information

NPI: 1871040758
Provider Name (Legal Business Name): RAMONA M HULKONEN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RAMONA M CARVER PA-C

II. Dates (important events)

Enumeration Date: 09/08/2016
Last Update Date: 01/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 10TH AVE STE 101
MENOMINEE MI
49858-3058
US

IV. Provider business mailing address

325 E H ST
IRON MOUNTAIN MI
49801-4760
US

V. Phone/Fax

Practice location:
  • Phone: 906-863-1286
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: