Organization · Type 2 NPI

Dickinson County Healthcare System

Emergency Medical Services (Emergency Medicine) Physician · Iron Mountain, MI

NPI number 1891751186 Active

Practice location

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637

Call (906) 774-1313 Map

Fax (906) 776-5639

Mailing address

1000 N Oak Ave, Attn: Provider Enrollment Coordinator Shp Fl 2
Marshfield, WI 54449-5703

Other practice locations

  • 1711 S Stephenson Ave, Iron Mountain, MI 49801-3639 · (906) 774-1313

Specialties and licenses

TaxonomyCodeLicense
Neuromusculoskeletal Medicine & OMM Physician 204D00000XNone listed
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Nephrology Physician 207RN0300XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Cytopathology Physician 207ZC0500XNone listed
Pediatrics Physician 208000000XNone listed
Neurology Physician 2084N0400XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Surgery Physician 208600000XNone listed
Physician Assistant 363A00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

93 other providers at this address

About NPI 1891751186

Dickinson County Healthcare System's National Provider Identifier is 1891751186, issued on Apr 25, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Iron Mountain, MI. The record was last updated on Oct 20, 2026.