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General NPI Number Information
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NPI Number | 1376973149
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Entity Type | Organization
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Legal Business Name | MYMICHIGAN MEDICAL CENTER MIDLAND
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Dates
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Enumeration Date | 11/15/2013
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Last Update Date | 06/22/2023
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Provider Practice Location 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 |
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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
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Name | AMANDA M PEIRCE
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Credential |
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Telephone | 989-356-7597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 560020
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License Number State | MI
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