MEDICARE: MYMICHIGAN MEDICAL CENTER TAWAS

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1649555004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYMICHIGAN MEDICAL CENTER TAWAS

Provider Business Mailing Address
First Line	:	PO BOX 779
Second Line	:
City	:	TAWAS CITY
State	:	MI
Zip	:	48764-0779
Country	:	US
Telephone Number	:	989-362-6426
Fax Number	:	989-362-6527

Provider Business Practice Location Address
First Line	:	325 E M 55
Second Line	:	SUITE B
City	:	TAWAS CITY
State	:	MI
Zip	:	48763-8211
Country	:	US
Telephone Number	:	989-362-6426
Fax Number	:	989-362-6527

Authorized Official
Title or Position	:	MANAGER PATIENT ACCOUNTING
Name	:	AMANDA PEIRCE
Credential	:
Telephone Number	:	989-356-7597

Provider Enumeration Date	:	10/18/2011
Last Update Date	:	09/02/2025

Similar Medicare Providers

1942500160 — JEFFREY M CHADWICK O D P C
Practice Location Address:

325 E M 55
TAWAS CITY, MI
48763-8211

Practice Phone: 989-362-2754
Practice Fax: 989-362-6231

1578843942 — AMY MARIE JAMES NP
Practice Location Address:

325 E M 55
TAWAS CITY, MI
48763-8211

Practice Phone: 989-362-6426
Practice Fax:

1063507689 — MRS. TRICIA KEELAN LECHMAIER D.C.
Practice Location Address:

852-35 SAXON BLVD
ORANGE CITY, FL
32763-8211

Practice Phone: 386-775-3600
Practice Fax: 386-775-3602

1336430172 — MS. SAMANTHA KATHLEEN DAVIS
Practice Location Address:

925 NE 20TH ST
OKLAHOMA CITY, OK
73105-8211

Practice Phone: 405-831-3915
Practice Fax:

1629346234 — ACTIVECARE
Practice Location Address:

4897 LAKE PARK BLVD STE 140
SALT LAKE CITY, UT
84120-8211

Practice Phone: 801-895-2640
Practice Fax:

1245571983 — SHAWNA SHINE
Practice Location Address:

933 NE 20TH ST
OKLAHOMA CITY, OK
73105-8211

Practice Phone: 405-924-5079
Practice Fax:

Directions to “MYMICHIGAN MEDICAL CENTER TAWAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.