Graduated: 2021
NPI: 1801566377
Practice Locations (2)
SIC OF MICHIGAN, PC
854 N CTR AVE, UNIT 2
GAYLORD, MI 497351686
6163665079
THUNDER BAY COMMUNITY HEALTH SERVICE INC
21258 M 68 HWY
ONAWAY, MI 497659663
9897332082
Source: CMS National Downloadable File, September 2026.