| Organization Name: | MIDMICHIGAN VISITING NURSE |
| NPI Number: | 1295957850 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAN WRZESINSKI (PATIENT ACCOUNTING MANAGER) |
| Mailing Address: | 1234 W Cedar Ave Gladwin |
| State: | MI US |
| Postal Code: | 486241818 |
| Phone Number: | 9892462500 |
| Fax Number: | 9892462515 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 03/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |