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Organization
WEXFORD MEDICAL GROUP
Active
Organization
WEXFORD MEDICAL GROUP
Active
Other names
GREAT LAKES FAMILY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ZDRODOWSKI (ADMINISTRATOR)
(231) 876-6730
Entity
Organization
Contact information
Practice address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 775-6521
(231) 876-6519
Mailing address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 775-6521
(231) 876-6519
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
690H31500
PPO LAB
MI
Enumeration date
10/31/2006
Last updated
09/11/2025
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