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Organization
THE TRAVELING MEDICINE MAN, PLLC
Active
Organization
THE TRAVELING MEDICINE MAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC NUSHOLTZ DO (OWNER)
(260) 312-6397
Entity
Organization
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-7100
Mailing address
198 S MAIN ST, SUITE 3, MOUNT CLEMENS, MI 48043-7917
(586) 465-2879
(586) 465-5424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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