Healthcare Provider Details

I. General information

NPI: 1538266978
Provider Name (Legal Business Name): MYMICHIGAN MEDICAL CENTER SAGINAW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/02/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 EAST BIRCH RUN ROAD
BIRCH RUN MI
48415
US

IV. Provider business mailing address

4000 WELLNESS DR
MIDLAND MI
48670-2000
US

V. Phone/Fax

Practice location:
  • Phone: 989-624-1500
  • Fax: 989-624-1506
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: AMANDA PEIRCE
Title or Position: MANAGER
Credential:
Phone: 989-356-7597