Organization
BALDWIN FAMILY HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE TATKO (CEO)
(231) 745-5009
Entity
Organization
Contact information
Practice address
117 S ROLAND ST, MC BAIN, MI 49657-9546
(231) 825-2643
(231) 825-0161
Mailing address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-2743
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/24/2007
Last updated
04/29/2021
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