Mackinaw Trail Health Associates P C
Organization Active NPI Pediatrics Physician · Cadillac, MI
NPI 1639463136 · NPPES record last updated Jun 2, 2011
Key facts
- NPI
- 1639463136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- MACKINAW TRAIL HEALTH ASSOCIATES P C
- Practice address
- 7917 Mackinaw TRL
Cadillac, MI 49601-9746 - Phone
- (231) 779-9700
- Fax
- (231) 779-9765
- NPI assigned
- Jun 2, 2011
- Organization subpart
- No
Authorized official
- Name
- Gerald Herring, M D
- Title
- President
- Phone
- (231) 779-9700
Practitioners 1
-
Susan Betts-Barbus, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
7917 Mackinaw TRL
Cadillac, MI 49601-9746
Mailing address
PO Box 963
Cadillac, MI 49601-0963
Phone (231) 775-6076
Other providers in Cadillac, MI
- Nazareth Christian Luther
- Mairi Lyon
- Lizbeth Gabel Maccord
- Kristina Lee Maceachern
- Scott Machin
- Mackinaw Trail Health Associates, P.C.
- Jacob Ian Maclean
- Amanda Marie Maga
- Niladri Mal
- Maple Ridge Living Center of Cadillac LLC
All providers in Cadillac, MI · Pediatrics Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.