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Organization
MIDLAND GENERAL PRACTICE PC
Active
Organization
MIDLAND GENERAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA B HELM BA (OFFICE MANAGER)
(989) 832-8803
Entity
Organization
Contact information
Practice address
901 E INDIAN ST, MIDLAND, MI 48640-5397
(989) 832-8803
(989) 832-4134
Mailing address
901 E INDIAN ST, MIDLAND, MI 48640-5397
(989) 832-8803
(989) 832-4134
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
JV005853
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155628580
BLUE CROSS BLUE SHIELD
MI
05
—
2991184
—
MI
Enumeration date
07/16/2006
Last updated
04/14/2008
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