Organization · Type 2 NPI

Upper Great Lakes Family Health Center

Federally Qualified Health Center (FQHC) · Gwinn, MI

NPI number 1700103777 Active

Practice location

301 Explorer Street
Gwinn, MI 49841-2813

Fax (906) 372-3230

Mailing address

135 E M35
Gwinn, MI 49841-9160

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Dental Clinic/Center 261QD0000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1700103777

Upper Great Lakes Family Health Center's National Provider Identifier is 1700103777, issued on Apr 29, 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.