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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKE SUPERIOR STATE UNIVERSITY

Active Organization

LAKE SUPERIOR STATE UNIVERSITY is a Family Medicine organization located in SAULT SAINTE MARIE, Michigan. NPI 1467454199 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SAULT SAINTE MARIE, MI

Registration Details

NPI Number
1467454199
Provider Type
Organization
NPI Issued
Aug 12, 2005 (21.002530903444 yrs)
Last Updated
Dec 12, 2008

Practice Information

Address
650 W EASTERDAY AVE
SAULT SAINTE MARIE, MI, 497831656
Browse MI providers · Browse ZIP 49783
Phone
9066352110
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Physician Assistant
Additional Specialty
Family Medicine

Other Family Medicine Organizations in SAULT SAINTE MARIE, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.