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NPI Code Detail

MEDICARE: MYMICHIGAN MEDICAL CENTER GLADWIN

MEDICARE: MYMICHIGAN MEDICAL CENTER GLADWIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0200XRadiology Clinic/CenterMI

General Provider Information

NPI Number : 1205277910
Entity Type Code : Organization
Provider Name (Legal Business Name) : MYMICHIGAN MEDICAL CENTER GLADWIN
Provider Business Mailing Address
First Line : 4000 WELLNESS DR
Second Line :
City : MIDLAND
State : MI
Zip : 48670-2000
Country : US
Telephone Number : 844-832-1956
Fax Number : 989-633-5241
Provider Business Practice Location Address
First Line : 515 QUARTER ST
Second Line :
City : GLADWIN
State : MI
Zip : 48624-1959
Country : US
Telephone Number : 989-246-6201
Fax Number :
Authorized Official
Title or Position : MANAGER, PROVIDER ENROLLMENT
Name : SARAH JAMES
Credential :
Telephone Number : 989-701-4734
Provider Enumeration Date : 07/10/2013
Last Update Date : 01/15/2026

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Directions to “MYMICHIGAN MEDICAL CENTER GLADWIN ” Practice Location

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