# MICHIGAN LIFE MEDICINE

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

## Provider details

- **NPI number:** 1356913768
- **Authorized official:** ANDREA MCSWAIN DO (CEO)
- **Authorized official phone:** (616) 649-2772

## Contact information

- **Practice address:** 496 W ANN ARBOR TRL STE 106, PLYMOUTH, MI 48170-6262
- **Practice address phone:** (616) 649-2772
- **Mailing address:** 496 W ANN ARBOR TRL STE 106, PLYMOUTH, MI 48170-6262
- **Mailing address phone:** (616) 649-2772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2021
- **Last updated:** 08/13/2021