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Organization
SLEEP DIAGNOSTICS OF MICHIGAN PC
Active
Organization
SLEEP DIAGNOSTICS OF MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WAYNE MACAULEY MD (MEDICAL DIRECTOR)
(989) 516-4317
Entity
Organization
Contact information
Practice address
611 COURT STREET, WEST BRANCH, MI 48661
(989) 516-4317
(989) 345-5803
Mailing address
611 COURT ST, PO BOX 428, WEST BRANCH, MI 48661-9390
(989) 516-4317
(989) 345-5803
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP51015
BLUE CROSS
MI
Enumeration date
02/01/2006
Last updated
11/30/2009
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