Organization
SLEEP DIAGNOSTICS OF MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WAYNE MACAULEY MD (MEDICAL DIRECTOR)
(989) 516-4317
Entity
Organization
Contact information
Practice address
611 COURT STREET, WEST BRANCH, MI 48661
(989) 516-4317
(989) 345-5803
Mailing address
611 COURT ST, PO BOX 428, WEST BRANCH, MI 48661-9390
(989) 516-4317
(989) 345-5803
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP51015
BLUE CROSS
MI
Enumeration date
02/01/2006
Last updated
11/30/2009
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