# MYMICHIGAN MEDICAL GROUP

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

## Provider details

- **NPI number:** 1780833053
- **Authorized official:** SARAH JAMES (MANAGER, PROVIDER ENROLLMENT)
- **Authorized official phone:** (989) 701-4734

## Contact information

- **Practice address:** 4000 WELLNESS DR, MIDLAND, MI 48670-0001
- **Practice address phone:** (989) 837-9002
- **Mailing address:** 4000 WELLNESS DR, MIDLAND, MI 48670-0001
- **Mailing address phone:** (844) 832-1956
- **Mailing address fax:** (989) 633-5241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2008
- **Last updated:** 01/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0E61181 | BCBS CNP GROUP | MI |