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Organization
BAYVIEW OB/GYN, PC--MIDWIFES
Active
Organization
BAYVIEW OB/GYN, PC--MIDWIFES
Active
Parent organization
BAYVIEW OB/GYN, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAYVIEW OB/GYN, PC
Authorized official
DR. EVE M RIDER D.O. (PRESIDENT)
(231) 487-2340
Entity
Organization
Contact information
Practice address
560 W MITCHELL ST, STE 210, PETOSKEY, MI 49770-2275
(231) 487-2340
(231) 487-2115
Mailing address
560 W MITCHELL ST, STE 210, PETOSKEY, MI 49770-2275
(231) 487-2340
(231) 487-2115
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
420B41027
BCBS MI
MI
Enumeration date
04/10/2008
Last updated
04/10/2008
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