# CADILLAC OCCUPATIONAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114157120
- **Authorized official:** MRS. JENNIFER CARTER (SENIOR BILLING REPRESENTATIVE)
- **Authorized official phone:** (231) 935-9189

## Contact information

- **Practice address:** 7985 MACKINAW TRL, STE B1, CADILLAC, MI 49601-8111
- **Practice address phone:** (231) 779-5224
- **Practice address fax:** (231) 779-5243
- **Mailing address:** 7985 MACKINAW TRL, STE B1, CADILLAC, MI 49601-8111
- **Mailing address phone:** (231) 779-5224
- **Mailing address fax:** (231) 779-5243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/24/2009
- **Last updated:** 07/24/2009