LAKE SUPERIOR STATE UNIVERSITY is a family medicine in Sault Sainte Marie, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LAKE SUPERIOR STATE UNIVERSITY NPI is 1467454199. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
650 W EASTERDAY AVE
SAULT SAINTE MARIE, MI
ZIP 49783-656
Phone: (906) 635-2110
The provider's authorized official is Kenneth Peress .
The authorized official title is Vice President Student Affairs and has the following contact phone number (906) 635-2634.
The CLIA number assigned to this NPI record is 23D0381932 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/12/2005 and was last updated on 12/12/2008.