Traverse Anesthesia Associates, Pc

NPI 1013966506 - Physician Assistant - 363A00000X

NPI Details
NPI 1013966506
Enumeration Date 05/10/2006
Last Updated 11/02/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name NIKKI NIKKI
Position BUSINESS OFFICE COORDINATOR
Phone (231) 935-5770
Fax (231) 935-0747
Practice Location
1105 6TH ST
MUNSON MEDICAL CENTER/TRAVERSE ANESTHESIA ASSOCIATES, P
TRAVERSE CITY MI, 49684-2349, US
Phone (231) 935-5770
Fax (231) 935-0747
Business Location
4100 PARK FOREST DR
SUITE 210
TRAVERSE CITY MI, 49684-7331, US
Phone (231) 935-5770
Fax (231) 935-0747
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Traverse Anesthesia Associates, Pc NPI is 1013966506, taxonomy code is 363A00000X Traverse Anesthesia Associates, Pc physically located at 1105 6th St, Traverse City MI, 49684-2349. NPI Number 1033115704 has the healthcare provider type.

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1013966506 NPI number is provided on an as is basis without warranty of any kind. 1013966506 is maintained by the National Plan & Provider Enumeration System. The contents of Traverse Anesthesia Associates, Pc are for informational purposes only.