NPI 1093992992 · live from the CMS NPI Registry
Aspirus Grand View Service Corporation
Family Medicine in Ironwood, MI. National Provider Identifier 1093992992, active.
NPI record
| NPI | 1093992992 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | N10561 Grandview Ln, Ironwood, MI 49938 |
| Practice phone | 906-932-2525 |
| Mailing address | N10565 Grandview Ln, Ironwood, MI 49938 |
| Enumerated | January 23, 2008 |
| Last updated | November 15, 2010 |
| Authorized official | Charmaine Chiantello, Cfo |
| Other names | Aspirus Grand View Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Geriatric Medicine | 207QG0300X | — |
| Internal Medicine | 207R00000X | — |
| Obstetrics & Gynecology | 207V00000X | — |
| Podiatrist | 213E00000X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.