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NPI Code Detail

MEDICARE: MYMICHIGAN MEDICAL CENTER ALMA

MEDICARE: MYMICHIGAN MEDICAL CENTER ALMA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010B96007OTHERMIBLUE CROSS BLUE SHIELD GR

General Provider Information

NPI Number : 1255316832
Entity Type Code : Organization
Provider Name (Legal Business Name) : MYMICHIGAN MEDICAL CENTER ALMA
Provider Business Mailing Address
First Line : 4000 WELLNESS DR
Second Line :
City : MIDLAND
State : MI
Zip : 48670-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 224 N MILL ST
Second Line :
City : SAINT LOUIS
State : MI
Zip : 48880-1523
Country : US
Telephone Number : 989-681-3524
Fax Number :
Authorized Official
Title or Position : MANAGER PATIENT ACCOUNTS
Name : AMANDA M PEIRCE
Credential :
Telephone Number : 989-356-7597
Provider Enumeration Date : 12/07/2005
Last Update Date : 10/18/2022

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Directions to “MYMICHIGAN MEDICAL CENTER ALMA ” Practice Location

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