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General NPI Number Information
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NPI Number | 1396554408
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Entity Type | Organization
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Legal Business Name | MICHIGAN HEALTH CLINICS PC
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 1115 S VAN DYKE RD STE 2
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City | BAD AXE
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State | MI
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Zip | 48413-9660
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Country | US
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Telephone | 989-341-5078
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 S VAN DYKE RD STE 2
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City | BAD AXE
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State | MI
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Zip | 48413-9660
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Country | US
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Telephone | 989-341-5078
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID L. STOCKMAN
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Credential |
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Telephone | 989-459-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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