Unknown Individual – Sports Medicine (Neuromusculoskeletal Medicine) Physician, NPI 1003876533
Sports Medicine (Neuromusculoskeletal Medicine) Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
301 EXPLORER ST
GWINN, MI 498412813
Phone: (906) 346-4924
Fax: (906) 346-6474
Type: Mailing
Portage Medical Group, 600, Macinnes Drive, Houghton, Houghton County, Michigan, 49931, United States
HOUGHTON, MI 499311569
Phone: (906) 483-1860
Fax: (906) 483-1866
Type: Mailing
Apothecary - Houghton, 600, Macinnes Drive, Houghton, Houghton County, Michigan, 49931, United States
HOUGHTON, MI 499301569
Phone: (906) 483-1860
Fax: (906) 483-1166
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 15 | 15 | $0 |
Insurance plans in this area (ZIP 49841)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Pediatric Medicine | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| Certified Nurse Midwife (Cnm) | MI | |
| - | MI | |
| - | MI | |
| Family Practice | MI | |
| Certified Nurse Midwife (Cnm) | MI | |
| Family Practice | ME |
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