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MID MICHIGAN OBSTETRICS & GYNECOLOGY PC NPI 1295889004


NPI Information

NPI: 1295889004
Provider Name: MID MICHIGAN OBSTETRICS & GYNECOLOGY PC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 23D0865843

Address:
3016 W WACKERLY ST
MIDLAND, MI
ZIP 48640
Phone: (989) 631-6730
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MID MICHIGAN OBSTETRICS & GYNECOLOGY PC is a nurse practitioner in Midland, MI. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. MID MICHIGAN OBSTETRICS & GYNECOLOGY PC NPI is 1295889004. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3016 W WACKERLY ST
MIDLAND, MI
ZIP 48640-160
Phone: (989) 631-6730
Fax: (989) 631-4968

The provider's authorized official is Scott Allen Thiele .
The authorized official title is Owner and has the following contact phone number (989) 631-6730.

The CLIA number assigned to this NPI record is 23D0865843 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/22/2007 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
1363L00000XNurse PractitionerMICHIGANYes

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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