{
"Npi": {
"NPI": "1215803598",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GEM HEALTH SPECIALTY SLEEP SERVICES OF MICHIGAN, P.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2214 5TH ST STE 5",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WHITE BEAR LAKE",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55110-3039",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "833-946-4436",
"MailingAddressFaxNumber": "833-936-3522",
"FirstLinePracticeLocationAddress": "2214 5TH ST STE 5",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WHITE BEAR LAKE",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55110-3039",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "833-946-4436",
"PracticeLocationAddressFaxNumber": "833-936-3522",
"EnumerationDate": "10/14/2025",
"LastUpdateDate": "10/14/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SAUER",
"AuthorizedOfficialFirstName": "BRIAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "651-216-3664",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QS1200X",
"TaxonomyName": "Sleep Disorder Diagnostic Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}