Organization
MYMICHIGAN MEDICAL CENTER SAULT
Active
Other names
MyMichigan Dialysis Services
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JAMES (MANAGER, PROVIDER ENROLLMENT)
(989) 701-4734
Entity
Organization
Contact information
Practice address
509 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-2069
(906) 253-1009
(906) 635-7872
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-1000
(844) 832-1956
(989) 633-5241
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40-3501500
—
MI
Enumeration date
08/30/2006
Last updated
01/14/2026
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