Organization Name: | HEALTHWISE MEDICAL CLINIC PLLC |
NPI Number: | 1154416717 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KASANDRA A LECHEL (CO OWNER) |
Mailing Address: | 101 Oxbow Drive Healthwise Medical Clinic Alpena |
State: | MI US |
Postal Code: | 49707 |
Phone Number: | 9893588100 |
Fax Number: | 9893544979 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 02/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704208256 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |