Organization
MYMICHIGAN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JAMES (MANAGER, PROVIDER ENROLLMENT)
(989) 701-4734
Entity
Organization
Contact information
Practice address
2522 W WACKERLY ST, MIDLAND, MI 48640-6921
(989) 633-5237
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-0001
(844) 832-1956
(989) 633-5241
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2522
ADDRESS
—
Enumeration date
07/07/2010
Last updated
01/15/2026
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