Organization Name: | SLEEP DIAGNOSTICS OF MICHIGAN PC |
NPI Number: | 1407827900 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD WAYNE MACAULEY (MEDICAL DIRECTOR) |
Mailing Address: | 611 Court Street West Branch |
State: | MI US |
Postal Code: | 48661 |
Phone Number: | 9895164317 |
Fax Number: | 9893455803 |
NPI Enumeration Date: | 02/01/2006 |
NPI Last Update Date: | 11/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |