Organization · Type 2 NPI

Upper Great Lakes Family Health Center

Federally Qualified Health Center (FQHC) · Gwinn, MI

NPI number 1104158690 Active

Practice location

135 East M 35
Gwinn, MI 49841-9159

Fax (906) 372-3230

Mailing address

135 E M35
Gwinn, MI 49841-9160

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1104158690

Upper Great Lakes Family Health Center's National Provider Identifier is 1104158690, issued on Feb 8, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Gwinn, MI. The record was last updated on May 13, 2026.