Organization
COMMUNITY MEMORIAL HOSPITAL
Active
Other names
Cheboygan Memorial Hospital Hospitalist Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED P ANDERSON (VICE PRESIDENT/FINANCE)
(231) 627-1203
Entity
Organization
Contact information
Practice address
748 S MAIN ST, CHEBOYGAN, MI 49721-2220
(231) 627-5601
(231) 627-1471
Mailing address
PO BOX 419, CHEBOYGAN, MI 49721-0419
(231) 627-1438
(231) 627-1471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
160020
MI
207R00000X
Internal Medicine Physician
160020
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
160020
MI
Other
Enumeration date
07/21/2006
Last updated
09/11/2025
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