NPI Code Details Logo

NPI 1063739654

NPI 1063739654 : MYMICHIGAN MEDICAL CENTER SAGINAW : SAGINAW, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063739654
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MYMICHIGAN MEDICAL CENTER SAGINAW 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/22/2010
-----------------------------------------------------
    Last Update Date     |    09/02/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4705 TOWNE CTR SUITE 104
-----------------------------------------------------
    City                 |    SAGINAW
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48604-2818
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    989-497-3157
-----------------------------------------------------
    Fax                  |    989-497-3158
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4000 WELLNESS DR 
-----------------------------------------------------
    City                 |    MIDLAND
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48670-2000
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGER PATIENT ACCOUNTS
-----------------------------------------------------
    Name                 |     AMANDA  PEIRCE 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    989-356-7597
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208600000X
-----------------------------------------------------
    Taxonomy Name        |    Surgery Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2086S0127X
-----------------------------------------------------
    Taxonomy Name        |    Trauma Surgery Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.