Organization
MYMICHIGAN MEDICAL CENTER GLADWIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JAMES (MANAGER, PROVIDER ENROLLMENT)
(989) 701-4734
Entity
Organization
Contact information
Practice address
515 QUARTER STREET, GLADWIN, MI 48624-1959
(989) 426-9286
(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
207RC0000X
Cardiovascular Disease Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430B610020
BL SHIELD CRNA GROUP
MI
Enumeration date
02/28/2007
Last updated
01/15/2026
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