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General NPI Number Information
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NPI Number | 1689711772
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Entity Type | Organization
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Legal Business Name | MYMICHIGAN MEDICAL CENTER ALPENA
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 2402 BRADLEY HIGHWAY SUITE 2
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City | ROGERS CITY
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State | MI
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Zip | 49779
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Country | US
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Telephone | 989-734-4254
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 WELLNESS DR
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City | MIDLAND
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State | MI
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Zip | 48670-0001
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Country | US
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Telephone | 989-734-4254
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. KENNETH KALE LEPPERT
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Credential | R.P.T.
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Telephone | 989-734-4254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 5501002011
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License Number State | MI
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