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General NPI Number Information
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NPI Number | 1407527658
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Entity Type | Organization
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Legal Business Name | ART OF MEDICINE PERSONALIZED PLLC
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 405 N DIVISION RD STE 4
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City | PETOSKEY
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State | MI
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Zip | 49770-9046
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Country | US
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Telephone | 231-622-6570
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Fax |
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Provider Business Mailing Address
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Address Line | 405 N DIVISION RD STE 4
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City | PETOSKEY
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State | MI
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Zip | 49770-9046
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Country | US
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Telephone | 231-373-8806
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | WENDY H WALKER
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Credential | MD
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Telephone | 231-330-6417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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