Hiawatha Behavioral Health

NPI 1417275140 - Internal Medicine - 207R00000X

NPI Details
NPI 1417275140
Enumeration Date 05/05/2010
Last Updated 05/19/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name SAMUEL SAMUEL
Position CEO
Phone (906) 632-2805
Fax
Practice Location
3865 S MACKINAC TRL
SAULT SAINTE MARIE MI, 49783-9286, US
Phone (906) 632-2805
Fax
Business Location
125 N LAKE ST
MANISTIQUE MI, 49854-1234, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Hiawatha Behavioral Health NPI is 1417275140, taxonomy code is 207R00000X Hiawatha Behavioral Health physically located at 3865 S Mackinac Trl, Sault Sainte Marie MI, 49783-9286. NPI Number 1033115704 has the healthcare provider type.

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1417275140 NPI number is provided on an as is basis without warranty of any kind. 1417275140 is maintained by the National Plan & Provider Enumeration System. The contents of Hiawatha Behavioral Health are for informational purposes only.