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Organization
CENTRAL MICHIGAN UNIVERSITY
Active
Organization
CENTRAL MICHIGAN UNIVERSITY
Active
Other names
CENTRAL MICHIGAN UNIVERSIY
Organization subpart
No
Provider details
NPI number
Authorized official
KATE HODGKINS (DIRECTOR OF CLINICAL SERVICES)
(989) 774-6624
Entity
Organization
Contact information
Practice address
1101 HEALTH PROFESSIONS BUILDING, MT PLEASANT, MI 48859-0001
(989) 774-3904
(989) 774-1891
Mailing address
1101 HEALTH PROFESSIONS BUILDING, MT PLEASANT, MI 48859-0001
(989) 774-3904
(989) 774-1891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
MI
2255A2300X
Athletic Trainer
—
—
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40 4683793
—
MI
01
—
640C727110
GROUP NUMBER
MI
Enumeration date
10/04/2006
Last updated
11/29/2022
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