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Midland General Practice Pc
General Practice Physician in Midland, Michigan
NPI 1306863204

Midland General Practice Pc is a General Practice Physician based in Midland, MI. Midland General Practice Pc practices in Midland, MI. The NPI Number for Midland General Practice Pc is 1306863204 and holds a License No. JV005853 (Michigan).

The current practice location address for Midland General Practice Pc is 901 E Indian St, Midland, MI and can be reached out via phone at 989-832-8803 and via fax at 989-832-4134.

Location: 901 E Indian St, Midland, MI, 48640-5397
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306863204
Provider Name
Midland General Practice Pc
Credential
Provider Entity Type
Organization
Address
901 E Indian St, Midland, MI, 48640-5397
Phone Number
989-832-8803
Fax Number
989-832-4134
Provider Enumeration Date
07/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0155628580 01 MI BLUE CROSS BLUE SHIELD
2991184 05 MI
institution
Provider Business Practice Location Address Details
Address
901 E Indian St
City
Midland
State
Michigan
Zip
48640-5397
Phone Number
989-832-8803
Fax Number
989-832-4134
person
Provider Business Mailing Address Details
Address
901 E Indian St
City
Midland
State
Michigan
Zip
48640-5397
Phone Number
989-832-8803
Fax Number
989-832-4134
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
JV005853 (Michigan)
Definition
Definition to come...
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