| Little Traverse Bay Family Medicine | |
|
2390 Mitchell Park Dr Unit C Petoskey MI 49770-8965 | |
| (231) 348-1968 | |
| (231) 348-1969 |
| Full Name | Little Traverse Bay Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2390 Mitchell Park Dr, Petoskey, Michigan |
| Authorized Official Name and Position | Teresa G Hudson (BILLING MANAGER) |
| Authorized Official Contact | 2314871141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Traverse Bay Family Medicine 2390 Mitchell Park Dr Unit C Petoskey MI 49770-8965 Ph: (231) 348-1968 | Little Traverse Bay Family Medicine 2390 Mitchell Park Dr Unit C Petoskey MI 49770-8965 Ph: (231) 348-1968 |
| NPI Number | 1417136425 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 11/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417136425 | NPI | - | NPPES |
| 4830173 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101012069 (Michigan) | Primary |
Petoskey Family Medicine P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1890 S Us 131, Suite 3, Petoskey, MI 49770 Phone: 231-487-6000 Fax: 231-487-6014 | |
Little Traverse Bay Bands Of Odawa Indians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1250 Lears Rd., Petoskey, MI 49770 Phone: 231-242-1700 Fax: 231-242-1717 | |
Clear The Dermatology Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W Mitchell St, Petoskey, MI 49770 Phone: 231-348-0766 | |
Northern Michigan Cosmetic & Reconstructive Surgery Center P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 W Mitchell St, Suite 360, Petoskey, MI 49770 Phone: 231-487-6070 Fax: 231-487-6073 | |
Suzanne Wehrenberg Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4048 Cedar Bluff Drive, Suite 5, Petoskey, MI 49770 Phone: 231-348-1880 Fax: 231-348-0905 | |
Great Lakes Digestive Health Assc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 W Mitchell St, Ste M40, Petoskey, MI 49770 Phone: 231-487-2391 Fax: 231-487-6513 | |
Mclaren Central Michigan Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 560 W Mitchell St, Stes 125,160,170,185,300,400,505,560,m40,c80,c70,240, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-6596 |