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1952410094
NORTHWESTERN MICHIGAN DERMATOLOGY PC
TRAVERSE CITY, MI
NPI
1952410094
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Entity Type
Organization
Authorized Contact
MARIA C CARROLL
Secretary
231-935-8717
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2006-08-30
Last Update Date
2015-09-28
Business Address
NORTHWESTERN MICHIGAN DERMATOLOGY PC
550 MUNSON AVE SUITE 200
TRAVERSE CITY, MI 49686-3580
Phone number: 231-935-8717
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Mailing Address
NORTHWESTERN MICHIGAN DERMATOLOGY PC
550 MUNSON AVE SUITE 200
TRAVERSE CITY, MI 49686-3580
Phone number: 231-935-8717
Copy
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