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General NPI Number Information
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NPI Number | 1649597998
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Entity Type | Organization
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Legal Business Name | MYMICHIGAN MEDICAL CENTER SAGINAW
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Dates
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Enumeration Date | 04/27/2010
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 4705 TOWNE CTR SUITE 104
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City | SAGINAW
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State | MI
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Zip | 48604-2818
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Country | US
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Telephone | 989-497-3157
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Fax | 989-497-3158
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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 PATIENT ACCOUNTING
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Name | AMANDA 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 | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | 5101015176
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 5101015176
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 5101015176
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License Number State | MI
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