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Organization
KEIRA DUVERNOY, DO, PC
Active
Organization
KEIRA DUVERNOY, DO, PC
Active
Other names
CENTER FOR INTEGRATIVE MEDICINE, PC
Organization subpart
No
Provider details
NPI number
Authorized official
KEIRA DUVERNOY DO (PRESIDENT)
(231) 947-0900
Entity
Organization
Contact information
Practice address
697 HANNAH AVE, SUITE D, TRAVERSE CITY, MI 49686-2201
(231) 947-0900
Mailing address
697 HANNAH AVE, SUITE D, TRAVERSE CITY, MI 49686-2201
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101009710
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548234180
NPI1
—
Enumeration date
01/19/2011
Last updated
01/27/2011
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