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General NPI Number Information
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NPI Number | 1669548061
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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 | 11/28/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1212 W SAGINAW RD
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City | VASSAR
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State | MI
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Zip | 48768-9483
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Country | US
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Telephone | 989-823-5020
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Fax | 989-823-7881
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704173083
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301079750
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License Number State | MI
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