| NPI | 1417136425 |
|---|---|
| Doing Business As | LITTLE TRAVERSE BAY FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TERESA G HUDSON Billing Manager 231-487-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101012069) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-11-07 |