Organization
BALDWIN FAMILY HEALTH CARE
Active
Organization
BALDWIN FAMILY HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE TATKO (CEO)
(231) 745-2743
Entity
Organization
Contact information
Practice address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-2736
(231) 745-5050
Mailing address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-2736
(231) 745-5050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D804570
BC GROUP
MI
Enumeration date
09/13/2006
Last updated
11/12/2020
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