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Contact Information

MYMICHIGAN MEDICAL GROUP
4401 N CAMPUS RDG
MIDLAND, MI48640-6112
 Phone: 989-837-9280
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MYMICHIGAN MEDICAL GROUP

NPI Number 1891740130
LBN Legal business name MYMICHIGAN MEDICAL GROUP
Authorized official SARAH JAMES - (MANAGER, PROVIDER ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2006
Last updated 01/15/2026 - About 5 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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