John Street Clinic Pc
Internal Medicine Physician in Lake City, MI(View on Map)
Legal Business Name
John Street Clinic Pc
NPI Number
1033253133
NPI Type
Organization
Enumeration Date
02/20/2007
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
PO BOX 213
112 E JOHN ST
City
Cadillac
Lake City
State
MI
MI
Postal Code
49601-0213
49651
Country
US
US
Telephone Number
(231) 775-6076
(231) 839-4359
Authorized Official
Name
Sotero Ureta
Title or Position
OWNER
Telephone Number
(231) 839-4359
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/05/2010
Provider Address
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