Unknown Individual – Emergency Medicine Physician, NPI 1477581452

Unknown Individual is a healthcare provider. based in West branch, Michigan. specializing in Emergency Medicine Physician. They hold a License No. 4301075330 (MI). The NPI Number for Unknown Individual is 1477581452

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477581452
Phone
(989) 343-1695
Address
2488 W BRANCH DR
Deactivation Date
26 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2488, West Branch Drive, West Branch, Ogemaw County, Michigan, 48661, United States

    WEST BRANCH, MI 486619278

    Phone: (989) 343-1695

    Fax: (989) 343-1695

    Type: Mailing

  • MyMichigan Medical Center West Branch, 2463, South M-30, West Branch, Ogemaw County, Michigan, 48661, United States

    WEST BRANCH, MI 48661

    Phone: (989) 345-3660

    Fax: (989) 343-1791

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48661)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1477581452 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights West Branch, Michigan; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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