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NPI Code Detail

MEDICARE: BALDWIN FAMILY HEALTH CARE

MEDICARE: BALDWIN FAMILY HEALTH CARE
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
13336C0003XCommunity/Retail Pharmacy5301008724MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22360852OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1487643953
Entity Type Code : Organization
Provider Name (Legal Business Name) : BALDWIN FAMILY HEALTH CARE
Provider Business Mailing Address
First Line : 520 COBB ST
Second Line :
City : CADILLAC
State : MI
Zip : 49601-2588
Country : US
Telephone Number : 231-876-6740
Fax Number : 231-876-6739
Provider Business Practice Location Address
First Line : 520 COBB ST
Second Line :
City : CADILLAC
State : MI
Zip : 49601-2588
Country : US
Telephone Number : 231-876-6740
Fax Number : 231-876-6739
Authorized Official
Title or Position : CEO
Name : JULIE TATKO
Credential :
Telephone Number : 231-745-5009
Provider Enumeration Date : 10/18/2005
Last Update Date : 07/21/2022

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1538155023 — DR. JONATHAN LEVI M.D.
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1952374803 — DR. JOSEPH D SANTANGELO M.D.
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1033188164 — DR. ROBERT STANKEWITZ M.D.
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Practice Fax: 231-775-1366
1124075809 — WEXFORD MEDICAL GROUP
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1710093588 — WILLIAM STEVEN KARL RPH
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Directions to “BALDWIN FAMILY HEALTH CARE ” Practice Location

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