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NPI Code Detail

MEDICARE: MICHAEL C HUTCHISON PLLC

MEDICARE: MICHAEL C HUTCHISON PLLC
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
11223G0001XGeneral Practice Dentistry2901016997MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11952860580OTHERMIPIN

General Provider Information

NPI Number : 1699889592
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL C HUTCHISON PLLC
Provider Business Mailing Address
First Line : 10850 E TRAVERSE HWY
Second Line : STE 2250
City : TRAVERSE CITY
State : MI
Zip : 49684
Country : US
Telephone Number : 231-946-9644
Fax Number : 231-946-9614
Provider Business Practice Location Address
First Line : 10850 E TRAVERSE HWY
Second Line : STE 2250
City : TRAVERSE CITY
State : MI
Zip : 49684
Country : US
Telephone Number : 231-946-9644
Fax Number : 231-946-9614
Authorized Official
Title or Position : OFFICE MANAGER
Name : JENNIFER KENNEDY
Credential :
Telephone Number : 231-946-9644
Provider Enumeration Date : 08/18/2006
Last Update Date : 10/23/2019

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Directions to “MICHAEL C HUTCHISON PLLC ” Practice Location

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