Organization
CENTRAL MICHIGAN UNIVERSITY
Active
Other names
CENTRAL MICHIGAN UNIVERSIY
Organization subpart
No
Provider details
NPI number
Authorized official
KATE HODGKINS (DIRECTOR OF CLINICAL SERVICES)
(989) 774-6624
Entity
Organization
Contact information
Practice address
1101 HEALTH PROFESSIONS BUILDING, MT PLEASANT, MI 48859-0001
(989) 774-3904
(989) 774-1891
Mailing address
1101 HEALTH PROFESSIONS BUILDING, MT PLEASANT, MI 48859-0001
(989) 774-3904
(989) 774-1891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
MI
2255A2300X
Athletic Trainer
—
—
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40 4683793
—
MI
01
—
640C727110
GROUP NUMBER
MI
Enumeration date
10/04/2006
Last updated
11/29/2022
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