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General NPI Number Information
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NPI Number | 1821043340
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Entity Type | Organization
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Legal Business Name | MYMICHIGAN MEDICAL CENTER CLARE
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 602 BEECH ST STE 1100
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City | CLARE
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State | MI
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Zip | 48617-1476
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Country | US
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Telephone | 989-386-9911
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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 | PRESIDENT
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Name | RAYMOND STOVER
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Credential |
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Telephone | 989-802-5102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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