Organization
MYMICHIGAN MEDICAL CENTER SAULT
Active
Other names
War Memorial Professional Diagnostic Services
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JAMES (MANAGER, PROVIDER ENROLLMENT)
(989) 701-4734
Entity
Organization
Contact information
Practice address
500 OSBORN BLVD, SAULT STE MARIE, MI 49783-1822
(906) 635-4469
(906) 635-4467
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(844) 832-1956
(989) 633-5241
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300A710390
BLUE CROSS BLUE SHIELD
MI
01
—
CA5300
MEDICARE RAILROAD
MI
Enumeration date
12/14/2006
Last updated
01/14/2026
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