| Organization Name: | MID-MICHIGAN DISTRICT HEALTH DEPARTMENT |
| NPI Number: | 1376859173 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK (MARCUS) W. CHEATHAM (HEALTH OFFICER) |
| Mailing Address: | 615 N State St Ste 1 Stanton |
| State: | MI US |
| Postal Code: | 488889702 |
| Phone Number: | 9898315237 |
| Fax Number: | 9898315522 |
| NPI Enumeration Date: | 08/31/2010 |
| NPI Last Update Date: | 09/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 2901011007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |