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General NPI Number Information
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NPI Number | 1134394026
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Entity Type | Organization
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Legal Business Name | MYMICHIGAN MEDICAL CENTER CLARE
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 703 N MCEWAN ST
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City | CLARE
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State | MI
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Zip | 48617-1440
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Country | US
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Telephone | 989-802-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 WELLNESS DR
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City | MIDLAND
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State | MI
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Zip | 48670-2000
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Country | US
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Telephone | 844-832-1956
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Fax | 989-633-5241
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Authorized Official
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Title or Position | MANAGER, PROVIDER ENROLLMENT
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Name | SARAH JAMES
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Credential |
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Telephone | 989-701-4734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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