Organization
BALDWIN FAMILY HEALTH CARE
Active
Organization
BALDWIN FAMILY HEALTH CARE
Active
Parent organization
BALDWIN FAMILY HEALTH CARE
Other names
Great Lakes Family Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
BALDWIN FAMILY HEALTH CARE
Authorized official
JULIE TATKO (ADMINISTRATIVE ASSISTANT)
(231) 745-2743
Entity
Organization
Contact information
Practice address
117 N ROLAND ST, MC BAIN, MI 49657-9683
(231) 825-2643
(231) 825-0161
Mailing address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 825-2643
(231) 876-6519
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700D360000
BLUE CROSS
MI
Enumeration date
06/26/2007
Last updated
08/10/2026
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