Provider Demographics
NPI:1245661537
Name:NORTHWOOD UNIVERSITY HEALTH CENTER
Entity type:Organization
Organization Name:NORTHWOOD UNIVERSITY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH CENTER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MISHLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:989-837-4312
Mailing Address - Street 1:4000 WHITING DR.
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-2398
Mailing Address - Country:US
Mailing Address - Phone:989-837-4312
Mailing Address - Fax:989-837-4283
Practice Address - Street 1:4000 WHITING DR.
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-2398
Practice Address - Country:US
Practice Address - Phone:989-837-4312
Practice Address - Fax:989-837-4283
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHWOOD UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care