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

Northshore Medical Clinic P C

Organization Obstetrics & Gynecology Physician · NPI 1841357464

Northshore Medical Clinic P C is an Obstetrics & Gynecology Physician in Cheboygan, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

7786 Mullett Lake Rd
Cheboygan, MI 49721-9056
Phone: (231) 627-2869
Fax: (231) 627-2869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 5101005875 (MI)

Record details

NPI number1841357464
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerome Siudara — Physician · (231) 627-2869
NPI enumeratedJanuary 2, 2007
Last updated in NPPESDecember 19, 2008
Mailing address7786 Mullett Lake Rd, Cheboygan, MI 49721-9056

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