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NORTHSHORE MEDICAL CLINIC P C
NPI 1841357464
Obstetrics & Gynecology in Cheboygan, MI

Active since January 02, 2007
7786 MULLETT LAKE RD, CHEBOYGAN, MI 49721(231) 627-2869(231) 627-2869 Get Directions Write a Review

NPPES record last updated: December 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northshore Medical Clinic P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSHORE MEDICAL CLINIC P C (NPI 1841357464) is a healthcare organization registered as an obstetrics & gynecology in Cheboygan, Michigan and active in the NPI registry since January 2007. The organization lists Jerome E Siudara, Physician, as its authorized official.

NPPES Registry Identity

NPI1841357464
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameNORTHSHORE MEDICAL CLINIC P C
Location Address7786 MULLETT LAKE RDCheboygan, MI 49721-9056
Mailing Address7786 Mullett Lake RdCheboygan, MI 49721-9056 · (231) 627-2869 · Fax (231) 627-2869
Phone(231) 627-2869
Fax(231) 627-2869
Organization SubpartNo
Authorized OfficialJerome E SiudaraPhysician · (231) 627-2869
Enumeration DateJanuary 2, 2007
Last NPPES UpdateDecember 19, 2008
✔ NPI 1841357464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 5101005875
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
7786 MULLETT LAKE RD, Cheboygan, MI 49721
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Other Identifiers 4

Medicaid111350021MI
Medicare UPINE26180
Other1651630495MI · Bs Of Mi
Medicare ID-Type Unspecified5163049

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEROME E SIUDARA D.O.
Obstetrics & Gynecology (Gynecology)
7786 MULLETT LAKE RD
CHEBOYGAN, MI 49721
Cheboygan County (231) 627-2869

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northshore Medical Clinic P C's NPI number?

The NPI number for Northshore Medical Clinic P C is 1841357464. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Northshore Medical Clinic P C located?

Northshore Medical Clinic P C is located at 7786 Mullett Lake Rd, Cheboygan, MI 49721. The listed phone number is (231) 627-2869.

What is Northshore Medical Clinic P C's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Northshore Medical Clinic P C was last updated on December 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.