Cardiothoracic Surgeons

NPI 1093838633 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1093838633
Enumeration Date 04/09/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHARONE K SHARONE
Position OFFICE MGR
Phone (231) 935-5730
Fax
Practice Location
1221 6TH ST
SUITE 202
TRAVERSE CITY MI, 49684-2359, US
Phone (231) 935-5730
Fax
Business Location
1221 6TH ST
SUITE 202
TRAVERSE CITY MI, 49684-2359, US
Phone
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Michigan
License Number 4704123270
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According to our database, Cardiothoracic Surgeons NPI is 1093838633, taxonomy code is 363L00000X and license number is 4704123270, license state is located at Michigan. Cardiothoracic Surgeons physically located at 1221 6th St, Traverse City MI, 49684-2359. NPI Number 1033115704 has the healthcare provider type.

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1093838633 NPI number is provided on an as is basis without warranty of any kind. 1093838633 is maintained by the National Plan & Provider Enumeration System. The contents of Cardiothoracic Surgeons are for informational purposes only.