Healthcare Provider Details

I. General information

NPI: 1912995465
Provider Name (Legal Business Name): MYMICHIGAN MEDICAL CENTER SAGINAW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 09/02/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 W GENESEE ST POB 265
FRANKENMUTH MI
48734-1302
US

IV. Provider business mailing address

PO BOX 779
TAWAS CITY MI
48764-0779
US

V. Phone/Fax

Practice location:
  • Phone: 989-652-5224
  • Fax: 989-652-3741
Mailing address:
  • Phone: 989-652-5210
  • Fax: 989-652-5219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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