Mymichigan Medical Center Gladwin

Nurse Practitioner · Gladwin, MI

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At a glance

515 Quarter St, Gladwin, MI 48624-1959

NPPES record updated Jan 15, 2026. Public records can lag behind changes at a practice.

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Practice location

515 Quarter St
Gladwin, MI 48624-1959

Professional details: NPI, taxonomy & registry record

NPI1861934689

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Registry details

Primary taxonomy: Nurse Practitioner
Taxonomy code: 363L00000X
Enumeration date: Nov 10, 2016
Record updated: Jan 15, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Nurse Practitioner

363L00000X · Primary

License reported: 26011 MI

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

515 Quarter St
Gladwin, MI 48624-1959

Phone: (989) 426-9286

Mailing address

4000 WELLNESS DR

MIDLAND, MI 486702000

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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