| NPI | 1477509453 |
|---|---|
| Doing Business As | LITTLE TRAVERSE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | TRICIA LEE MENARD Billing Office Manager 231-348-3808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2021-08-24 |