# INDIGO HOSPITAL MEDICINE - TRAVERSE CITY, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124370580
- **Authorized official:** MS. ANNE E MCMORROW (DIRECTOR OF REIMBURSEMENT)
- **Authorized official phone:** (231) 346-6807

## Contact information

- **Practice address:** 1105 SIXTH ST, TRAVERSE CITY, MI 49684-2349
- **Practice address phone:** (231) 346-6807
- **Practice address fax:** (231) 346-6052
- **Mailing address:** 10850 E TRAVERSE HWY, STW 4400, TRAVERSE CITY, MI 49684-1364
- **Mailing address phone:** (231) 346-6807
- **Mailing address fax:** (231) 346-6052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2012
- **Last updated:** 06/20/2018