MYMICHIGAN MEDICAL GROUP NPI 1376986489

NPI Information

NPI: 1376986489
Provider Name: MYMICHIGAN MEDICAL GROUP
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 23D2257832

Address:
640 COURT ST
WEST BRANCH, MI
ZIP 48661
Phone: (989) 345-8120
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MYMICHIGAN MEDICAL GROUP is a radiology clinic center in West Branch, MI. MYMICHIGAN MEDICAL GROUP NPI is 1376986489. The provider is registered as an organization entity type.

The provider's business location address is:

640 COURT ST
WEST BRANCH, MI
ZIP 48661-390
Phone: (989) 345-8120

The provider's authorized official is Sarah James .
The authorized official title is Provider Enrollment Coordinator and has the following contact phone number (989) 701-4734.

The CLIA number assigned to this NPI record is 23D2257832 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2013 and was last updated on 9/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology		MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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