Organization · Type 2 NPI

Mymichigan Medical Group

Nurse Practitioner · Midland, MI

NPI number 1780833053 Active

Practice location

4000 Wellness Dr
Midland, MI 48670-0001

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1780833053

Mymichigan Medical Group's National Provider Identifier is 1780833053, issued on Sep 11, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Midland, MI. The record was last updated on Jan 15, 2026.