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Organization
ELEVATE MEDICAL SPA LLC
Active
Organization
ELEVATE MEDICAL SPA LLC
Active
Other names
Elevate Medical Aesthetics and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA JEAN GOETZ FNP (OWNER)
(231) 622-8103
Entity
Organization
Contact information
Practice address
2230 E MITCHELL RD STE A, PETOSKEY, MI 49770-6601
(231) 622-8103
Mailing address
2230 E MITCHELL RD STE A, PETOSKEY, MI 49770-6601
(231) 622-8103
(949) 695-2102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/27/2023
Last updated
03/03/2026
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