Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Michigan University

Organization Surgery Physician · NPI 1790058386

Central Michigan University is a Surgery Physician in Mount Pleasant, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012

Practice location Address checks out

2981 Health Pkwy Ste B
Mount Pleasant, MI 48858-9347
Phone: (989) 772-6880
Fax: (989) 772-6817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X (MI)

Record details

NPI number1790058386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Gronda — Provider Enrollment Specialist · (989) 774-3334
NPI enumeratedFebruary 14, 2012
Last updated in NPPESOctober 22, 2014
Mailing address2981 Health Pkwy, Suite B, Mount Pleasant, MI 48858-9347

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