Avery J Aten, M.D.

Individual provider Active NPI Family Medicine Physician · Alpena, MI

NPI 1770577959 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1770577959
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
AA036532 (MI)
Practice address
211 Long Rapids Rd
Alpena, MI 49707-1315
Phone
(989) 354-2142
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AA036532MIMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AA036532 MI Yes

Addresses

Primary practice location

211 Long Rapids Rd
Alpena, MI 49707-1315

Mailing address

211 Long Rapids Rd
Alpena, MI 49707-1315

Other providers in Alpena, MI

All providers in Alpena, MI · Family Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.