Superior Walk-in Center, PC
Organization Active NPI Family Medicine Physician · Marquette, MI
NPI 1992167241 · NPPES record last updated Mar 25, 2016
Key facts
- NPI
- 1992167241
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301058344 (MI)
- Legal business name
- SUPERIOR WALK-IN CENTER, PC
- Practice address
- 2382 US Highway 41 W
Marquette, MI 49855-2456 - Phone
- (906) 449-2005
- Fax
- (906) 449-2007
- NPI assigned
- Mar 25, 2016
- Organization subpart
- No
Authorized official
- Name
- Kurt Richard Olson, M.D.
- Title
- President/ Owner
- Phone
- (906) 387-4220
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 4
Practitioners 14
-
Karen Sue Freeborn, FNP-BC
-
Anthony Joseph Jurecic, NP-C
-
Rachel Lauren Klawitter, FNP-C
-
Jill A. Magel, P.A.
-
Angela Victoria Moore, MSN, FNP-C, PMHNP-BC
-
Kurt Richard Olson, M.D.
-
Mark Walter Olson, M.D.
-
Ryan Kurt Olson, CNP
-
Emily Rose Prunick, FNP-C
-
Rachel Elizabeth Teifke, NP-C
-
Christy Louise Garnsey, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070123000220 | MI | Part B Supplier - Clinic/Group Practice | 6204837057 |
Receives reassigned benefits from 14 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Marquette, MI; Munising, MI |
National Provider Directory
- Tax ID family
- Superior Walk-in Center PC
Locations
2382 US Highway 41 W
Marquette, MI 49855
Phone (906) 226-2233
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 4301058344 | MI | Yes |
Addresses
Primary practice location
2382 US Highway 41 W
Marquette, MI 49855-2456
Mailing address
1504 Sandpoint Rd
Munising, MI 49862-1406
Phone (906) 387-4220
Other names
- Superior Walk-In & Family Health
Other providers in Marquette, MI
- Superior Sober House
- Superior Vitality LLC
- Superior Walk-in Center, PC
- Superior Walk-in Center, PC
- Superior Walk-in Center, PC
- Matthew M Supron
- Surgical Associates of Marquette, P.C.
- James A Surrell
- Susan B. Lafreniere Acsw, P.C.
- Gregg A Sutherland
All providers in Marquette, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.