Organization Name: | DELTA-MENOMINEE DISTRICT HEALTH DEPARTMENT |
NPI Number: | 1467506758 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN R PETRASKY (HEALTH OFFICER & MEDICAL DIRECTOR) |
Mailing Address: | 909 10th Ave Menominee |
State: | MI US |
Postal Code: | 498583014 |
Phone Number: | 9068634451 |
Fax Number: | 9068637142 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
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NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |