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General NPI Number Information
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NPI Number | 1154434249
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Entity Type | Organization
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Legal Business Name | ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC.
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 501 GRANITE ST
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City | HURLEY
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State | WI
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Zip | 54534-1372
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Country | US
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Telephone | 715-561-2255
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Fax |
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Provider Business Mailing Address
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Address Line | N10565 GRANDVIEW LN
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City | IRONWOOD
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State | MI
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Zip | 49938-9622
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Country | US
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Telephone | 906-932-1500
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Fax | 906-932-5630
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Authorized Official
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Title or Position | SVP & CHIEF FINANCIAL OFFICER
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Name | JERRY M YANG
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Credential |
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Telephone | 715-847-2526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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