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General NPI Number Information
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NPI Number | 1508960600
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Entity Type | Organization
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Legal Business Name | BARAGA COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 18341 US HIGHWAY 41
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City | LANSE
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State | MI
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Zip | 49946-8024
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Country | US
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Telephone | 906-524-3300
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Fax | 906-524-3405
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Provider Business Mailing Address
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Address Line | 18341 US HIGHWAY 41
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City | LANSE
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State | MI
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Zip | 49946-8024
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Country | US
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Telephone | 906-524-3300
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Fax | 905-524-3405
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Authorized Official
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Title or Position | CEO
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Name | MRS. ROB STOWE
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Credential |
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Telephone | 906-524-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology 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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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