Organization · Type 2 NPI
Mymichigan Medical Group
Surgical Physician Assistant · Midland, MI
NPI number
1891740130
Active
Practice location
4401 N Campus Rdg
Midland, MI 48640-6112
Mailing address
4000 Wellness Dr
Midland, MI 48670-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1891740130
Mymichigan Medical Group's National Provider Identifier is 1891740130, issued on May 24, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Midland, MI. The record was last updated on Jan 15, 2026.