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NPI Code Detail

MEDICARE: HAND SURGERY OF NORTHERN MICHIGAN PLC

MEDICARE: HAND SURGERY OF NORTHERN MICHIGAN PLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251H1200XHand Physical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10B81023OTHERMIBCBSM

General Provider Information

NPI Number : 1619029923
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAND SURGERY OF NORTHERN MICHIGAN PLC
Provider Business Mailing Address
First Line : 701 W FRONT ST
Second Line : SUITE 100
City : TRAVERSE CITY
State : MI
Zip : 49684-2236
Country : US
Telephone Number : 231-995-9758
Fax Number : 231-995-9745
Provider Business Practice Location Address
First Line : 701 W FRONT ST
Second Line : SUITE 100
City : TRAVERSE CITY
State : MI
Zip : 49684-2236
Country : US
Telephone Number : 231-995-9758
Fax Number : 231-995-9745
Authorized Official
Title or Position : ADMINISTRATOR
Name : CHRISTINE LEE
Credential :
Telephone Number : 231-995-9748
Provider Enumeration Date : 01/17/2007
Last Update Date : 04/14/2010

Similar Medicare Providers

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Practice Location Address:
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1366404972 — KATHRYN S HOLTFRETER OTR CHT
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1568424166 — VIRGINIA M WILLETTE-GREEN OTR CHT
Practice Location Address:
701 W FRONT ST , SUITE 100
TRAVERSE CITY, MI
49684-2236
Practice Phone: 231-995-9748
Practice Fax: 231-995-9745
1730142035 — PATSY A FRIEDLANDER OTR
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701 W FRONT ST , SUITE 100
TRAVERSE CITY, MI
49684-2236
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1518981679 — DR. DAVID M KAM MD
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1221 SIXTH ST SUITE 300
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1497778765 — HAND SURGERY OF NORTHERN MICHIGAN PLC
Practice Location Address:
701 W FRONT ST , SUITE 100
TRAVERSE CITY, MI
49684-2236
Practice Phone: 231-935-0800
Practice Fax: 231-935-0808

Directions to “HAND SURGERY OF NORTHERN MICHIGAN PLC ” Practice Location

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