Organization
MIDMICHIGAN CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL RHODE WOODRUFF M.D., PH.D. (PRESIDENT)
(989) 832-0100
Entity
Organization
Contact information
Practice address
111 E WACKERLY ST, SUITE D, MIDLAND, MI 48642-7001
(989) 832-0100
(989) 923-1055
Mailing address
111 E WACKERLY ST, SUITE D, MIDLAND, MI 48642-7001
(989) 832-0100
(989) 923-1055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301065098
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3423708
—
MI
01
—
NW0560042
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/18/2007
Last updated
10/20/2008
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