Mymichigan Medical Center Clare

NPI #1619419504 in Clare, Michigan

Provider Information

NPI Number: 1619419504
Entity Type: Organization
Organization Name: Mymichigan Medical Center Clare
Primary Specialty: Nurse Practitioner
Enumeration Date: Nov 9, 2016
Last Updated: Jan 15, 2026

Practice Location

Address: 703 N MCEWAN ST
City: Clare
State: Michigan
ZIP Code: 48617-1440
Phone: (989) 802-5000

Authorized Official

Name: SARAH JAMES
Title: MANAGER, PROVIDER ENROLLMENT
Phone: (989) 701-4734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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