SUPERIOR WALK-IN CENTER PC NPI 1669575148

NPI Information

NPI: 1669575148
Provider Name: SUPERIOR WALK-IN CENTER, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1504 SAND POINT ROAD
MUNISING, MI
ZIP 49862
Phone: (906) 387-4220
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SUPERIOR WALK-IN CENTER, PC is a family medicine in Munising, 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. SUPERIOR WALK-IN CENTER, PC NPI is 1669575148. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1504 SAND POINT ROAD
MUNISING, MI
ZIP 49862
Phone: (906) 387-4220
Fax: (906) 387-5449

The provider's authorized official is Kurt Richard Olson .
The authorized official title is President and has the following contact phone number (906) 387-4220.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		4301058344	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OMO8930	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
2	=========	OTHER	MICHIGAN	EIN FEDERAL
3	3114604	MEDICAID	MICHIGAN
4	CA9514	MEDICARE PIN	MICHIGAN
5	0800217321	OTHER	MICHIGAN	BLUE CROSS OF MI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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