# GLADWIN COUNTY JAIL

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

## Provider details

- **NPI number:** 1649604174
- **Authorized official:** MR. MICHAEL SHEA (SHERIFF)
- **Authorized official phone:** (989) 426-9284

## Contact information

- **Practice address:** 501 W CEDAR AVE, GLADWIN, MI 48624-2064
- **Practice address phone:** (989) 426-7121
- **Practice address fax:** (989) 426-1173
- **Mailing address:** 501 W CEDAR AVE, GLADWIN, MI 48624-2064
- **Mailing address phone:** (989) 426-7121
- **Mailing address fax:** (989) 426-1173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2013
- **Last updated:** 09/03/2013