Organization
MYMICHIGAN MEDICAL CENTER MIDLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JAMES (MANAGER, PROVIDER ENROLLMENT)
(989) 701-4734
Entity
Organization
Contact information
Practice address
4000 WELLNESS DRIVE, MIDLAND, MI 48670-0001
(989) 839-3000
(989) 839-1304
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-0001
(844) 832-1956
(989) 633-5241
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150E660210
BL SHIELD GROUP MIXED
MI
Enumeration date
02/28/2007
Last updated
01/14/2026
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