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1992704753

NPI Code Detail

MEDICARE: ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC.

MEDICARE: ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC.

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
1	207V00000X	Obstetrics & Gynecology Physician
2	213E00000X	Podiatrist
3	261QR1300X	Rural Health Clinic/Center
4	363A00000X	Physician Assistant
5	363LP2300X	Primary Care Nurse Practitioner
6	207QG0300X	Geriatric Medicine (Family Medicine) Physician	383005582	MI
7	207R00000X	Internal Medicine Physician
8	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	700B710030	OTHER	MI	BCBS
2	02W43GR	OTHER	MN	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	383005582010	OTHER	WI	BCBS

General Provider Information

NPI Number	:	1992704753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC.

Provider Business Mailing Address
First Line	:	N10565 GRANDVIEW LN
Second Line	:
City	:	IRONWOOD
State	:	MI
Zip	:	49938-9622
Country	:	US
Telephone Number	:	906-932-1500
Fax Number	:	906-932-5630

Provider Business Practice Location Address
First Line	:	N10565 GRANDVIEW LN
Second Line	:
City	:	IRONWOOD
State	:	MI
Zip	:	49938-9622
Country	:	US
Telephone Number	:	906-932-1500
Fax Number	:	906-932-5630

Authorized Official
Title or Position	:	SVP & CHIEF FINANCIAL OFFICER
Name	:	JERRY M YANG
Credential	:
Telephone Number	:	715-847-2526

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	06/07/2024

Similar Medicare Providers

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Practice Location Address:

N10565 GRANDVIEW LN
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49938-9622

Practice Phone: 906-932-1500
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1043218324 — CHRISTOPHER J POGLIANO MD
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1619975869 — DAVID S WOOD DPM
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IRONWOOD, MI
49938-9622

Practice Phone: 906-932-1500
Practice Fax: 906-932-5630

1912905159 — FRANKLIN A VILLANUEVA MD
Practice Location Address:

N10565 GRANDVIEW LN
IRONWOOD, MI
49938-9622

Practice Phone: 906-932-1500
Practice Fax: 906-932-5630

1891793733 — JAMES E HUBBARD MD
Practice Location Address:

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IRONWOOD, MI
49938-9622

Practice Phone: 906-932-1500
Practice Fax: 906-932-5630

1982602751 — TERRY L. STEEGE NP
Practice Location Address:

N10565 GRANDVIEW LANE
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Directions to “ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. ” Practice Location

Language	Start Address	Practice Location

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