Organization · Type 2 NPI
Iron Mountain Vamc
VA Clinic/Center · Manistique, MI
NPI number
1114334174
Active
Practice location
813 East Lakeshore Drive
Manistique, MI 49854-1683
Fax (608) 821-7658
Mailing address
PO Box 94484
Cleveland, OH 44101-4484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
About NPI 1114334174
Iron Mountain Vamc's National Provider Identifier is 1114334174, issued on Jul 22, 2014. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Manistique, MI. The record was last updated on Feb 23, 2023.