Organization
CENTRAL MICHIGAN UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER STITES (HEALTH INFO SPECIALIST)
(989) 774-6599
Entity
Organization
Contact information
Practice address
202 FOUST HALL, CENTRAL MICHIGAN UNIVERSITY HEALTH SERVICES, MT PLEASANT, MI 48859-0001
(989) 774-1748
(989) 774-4335
Mailing address
202 FOUST HL, CENTRAL MICHIGAN UNIVERSITY HEALTH SERVICES, MT PLEASANT, MI 48859-0001
(989) 774-6599
(989) 774-4335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MI
207Q00000X
Family Medicine Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C76005
BCBS NUMBER
MI
Enumeration date
07/07/2006
Last updated
06/23/2022
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