# BALDWIN FAMILY HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BALDWIN FAMILY HEALTH CARE
- **Other names:** Baldwin Family Health Care Outreach
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326411018
- **Legal business name:** BALDWIN FAMILY HEALTH CARE
- **Authorized official:** MRS. JULIE TATKO (PRESIDENT/CEO)
- **Authorized official phone:** (231) 745-2743

## Contact information

- **Practice address:** 1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
- **Practice address phone:** (231) 745-2736
- **Mailing address:** 1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
- **Mailing address phone:** (231) 745-2736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2015
- **Last updated:** 11/12/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0D36000 | BCBS | — |