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WEXFORD MEDICAL GROUP NPI 1093891939


NPI Information

NPI: 1093891939
Provider Name: WEXFORD MEDICAL GROUP

Doing Business As: GREAT LAKES FAMILY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
520 COBB ST
CADILLAC, MI
ZIP 49601
Phone: (231) 775-6521
Get Directions

WEXFORD MEDICAL GROUP is a family medicine in Cadillac, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WEXFORD MEDICAL GROUP NPI is 1093891939. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Great Lakes Family Care.

The provider's business location address is:

520 COBB ST
CADILLAC, MI
ZIP 49601-588
Phone: (231) 775-6521
Fax: (231) 876-6519

The provider's authorized official is Michael Zdrodowski .
The authorized official title is Administrator and has the following contact phone number (231) 876-6730.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 8/22/2020.


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
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1690H31500OTHERMICHIGANPPO LAB

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

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