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NPI Code Detail

MEDICARE: NORTHERN MICHIGAN UNIVERSITY

MEDICARE: NORTHERN MICHIGAN UNIVERSITY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy5301002840MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22040953OTHERPK

General Provider Information

NPI Number : 1487665725
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHERN MICHIGAN UNIVERSITY
Provider Business Mailing Address
First Line : 1401 PRESQUE ISLE AVE
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-2818
Country : US
Telephone Number : 906-227-1605
Fax Number : 906-227-2332
Provider Business Practice Location Address
First Line : 1401 PRESQUE ISLE AVE
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-2818
Country : US
Telephone Number : 906-227-2355
Fax Number : 906-227-1332
Authorized Official
Title or Position : DIRECTOR OF PHARMACY
Name : JAN NOLAN
Credential :
Telephone Number : 906-227-1605
Provider Enumeration Date : 08/11/2006
Last Update Date : 04/22/2016

Similar Medicare Providers

1134054869 — EMMA HESLIN
Practice Location Address:
1401 PRESQUE ISLE AVE
MARQUETTE, MI
49855-2818
Practice Phone: 906-227-2994
Practice Fax:
1639003858 — GABRIELLE MARTIN
Practice Location Address:
1401 PRESQUE ISLE AVE
MARQUETTE, MI
49855-2818
Practice Phone: 906-227-2994
Practice Fax:
1548194764 — ELEANOR AOIFE GALLAGHER
Practice Location Address:
1401 PRESQUE ISLE AVE
MARQUETTE, MI
49855-2818
Practice Phone: 906-227-2994
Practice Fax:
1780519751 — KELSEY MORGAN ELY
Practice Location Address:
1401 PRESQUE ISLE AVE
MARQUETTE, MI
49855-2818
Practice Phone: 906-227-2994
Practice Fax:
1811988959 — DR. MICHELLE R STORMS MD
Practice Location Address:
1401 PRESQUE ISLE AVE , ATTN: HEALTH CENTER
MARQUETTE, MI
49855-2818
Practice Phone: 906-227-2355
Practice Fax: 906-227-2332
1417153529 — DR. CHRISTOPHER JOHN KIRKPATRICK M.D.
Practice Location Address:
1401 PRESQUE ISLE AVE
MARQUETTE, MI
49855-2818
Practice Phone: 906-227-2357
Practice Fax:

Directions to “NORTHERN MICHIGAN UNIVERSITY ” Practice Location

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