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Medical Physician Assistant

NPI: 1164874616Organization

Specialties, Licenses & Credentials

General Practice Physician

General Practice

Code: 208D00000X

4301053221(MI)
Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

5601004147(MI)

Contact & Hours

Address
116 W MITCHELL ST
PETOSKEY, MI 49770

Quick Facts

NPI
1164874616
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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