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Organization

BENZIE-LEELANAU DISTRICT HEALTH DEPARTMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL R. THORELL JR. (HEALTH OFFICER)
(231) 882-4409
Entity
Organization

Contact information

Practice address
6051 FRANKFORT HWY, SUITE 100, BENZONIA, MI 49616-9558
(231) 882-2116
(231) 882-2204
Mailing address
6051 FRANKFORT HWY, SUITE 100, BENZONIA, MI 49616-9558
(231) 882-2116
(231) 882-2204

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019190
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881719086
MI
Enumeration date
11/16/2016
Last updated
06/19/2023
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