| Organization Name: | MIDMICHIGAN MEDICAL CENTER GLADWIN |
| NPI Number: | 1619311891 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYMOND STOVER (PRESIDENT) |
| Mailing Address: | 609 Quarter St Gladwin |
| State: | MI US |
| Postal Code: | 486241941 |
| Phone Number: | 9892469430 |
| Fax Number: | 9892469435 |
| NPI Enumeration Date: | 04/18/2013 |
| NPI Last Update Date: | 07/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |