Unknown Individual – Surgery Physician, NPI 1689683633
Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1711, South Stephenson Avenue, Iron Mountain, Dickinson County, Michigan, 49801, United States
SUITE 305
IRON MOUNTAIN, MI 498013637
Phone: (906) 774-0330
Fax: (906) 774-2584
Mailing address matches the actual address.
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
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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49801)
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