# MID-MICHIGAN DISTRICT HEALTH DEPARTMENT

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

## Provider details

- **NPI number:** 1851386106
- **Authorized official:** MRS. LIZ MARI (JOHN) BRADDOCK RS MS (HEALTH OFFICER)
- **Authorized official phone:** (989) 831-3640

## Contact information

- **Practice address:** 615 N STATE ST, STE. 1, STANTON, MI 48888-9702
- **Practice address phone:** (989) 831-5237
- **Practice address fax:** (989) 831-3666
- **Mailing address:** 615 N STATE ST, STE. 2, STANTON, MI 48888-9702
- **Mailing address phone:** (989) 831-5237
- **Mailing address fax:** (989) 831-5522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2005
- **Last updated:** 07/26/2021