# BAYVIEW OB/GYN, PC--MIDWIFES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BAYVIEW OB/GYN, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629241690
- **Legal business name:** BAYVIEW OB/GYN, PC
- **Authorized official:** DR. EVE M RIDER D.O. (PRESIDENT)
- **Authorized official phone:** (231) 487-2340

## Contact information

- **Practice address:** 560 W MITCHELL ST, STE 210, PETOSKEY, MI 49770-2275
- **Practice address phone:** (231) 487-2340
- **Practice address fax:** (231) 487-2115
- **Mailing address:** 560 W MITCHELL ST, STE 210, PETOSKEY, MI 49770-2275
- **Mailing address phone:** (231) 487-2340
- **Mailing address fax:** (231) 487-2115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | MI | Yes |

## Other

- **Enumeration date:** 04/10/2008
- **Last updated:** 04/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 420B41027 | BCBS MI | MI |