| Indigo Hospital Medicine - Petoskey, Plc | |
|
416 Connable Ave Petoskey MI 49770-2212 | |
| (231) 346-6807 | |
| (231) 346-6052 |
| Full Name | Indigo Hospital Medicine - Petoskey, Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 416 Connable Ave, Petoskey, Michigan |
| Authorized Official Name and Position | Anne E Mcmorrow (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Contact | 2313466807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indigo Hospital Medicine - Petoskey, Plc 10850 E Traverse Hwy Ste 4400 Traverse City MI 49684-1364 Ph: (231) 346-6807 | Indigo Hospital Medicine - Petoskey, Plc 416 Connable Ave Petoskey MI 49770-2212 Ph: (231) 346-6807 |
| NPI Number | 1578995775 |
|---|---|
| Provider Enumeration Date | 07/30/2013 |
| Last Update Date | 10/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578995775 | NPI | - | NPPES |
| 0509906087 | Other | MI | STATE IDENTIFIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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