Healthcare Provider Details

I. General information

NPI: 1942418736
Provider Name (Legal Business Name): ANN MARIE TOEVS P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2110 16TH ST
BAY CITY MI
48708-7609
US

IV. Provider business mailing address

2110 16TH ST
BAY CITY MI
48708-7609
US

V. Phone/Fax

Practice location:
  • Phone: 989-892-2517
  • Fax: 989-892-4860
Mailing address:
  • Phone: 989-892-2517
  • Fax: 989-892-4860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601004239
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: