Organization
MYMICHIGAN MEDICAL CENTER CLARE
Active
Organization
MYMICHIGAN MEDICAL CENTER CLARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JAMES (MANAGER, PROVIDER ENROLLMENT)
(989) 701-4734
Entity
Organization
Contact information
Practice address
703 N MCEWAN ST, CLARE, MI 48617-1440
(989) 802-5000
(989) 839-1304
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(844) 832-1956
(989) 633-5241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010A860040
BLUE SHIELD MIXED GROUP
MI
01
—
430A860480
BL SHIELD GROUP CRNA
MI
Enumeration date
02/28/2007
Last updated
01/15/2026
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