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General NPI Number Information
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NPI Number | 1144779885
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Entity Type | Organization
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Legal Business Name | MYMICHIGAN MEDICAL CENTER STANDISH
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Dates
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Enumeration Date | 09/22/2016
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 805 W CEDAR ST
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City | STANDISH
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State | MI
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Zip | 48658-9526
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Country | US
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Telephone | 989-846-3503
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Fax | 989-846-3536
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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 |
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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