Organization
ELECTRO SPA OF NORTHERN MICHIGAN
Active
Parent organization
DANIEL M SARYA, DDS, MPH, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DANIEL M SARYA, DDS, MPH, PC
Authorized official
MRS. MARGUERITE J TILLEY (CLINICIAN)
(231) 933-6001
Entity
Organization
Contact information
Practice address
403 E STATE ST STE 100, TRAVERSE CITY, MI 49686-5805
(231) 933-6001
(231) 947-1506
Mailing address
403 E STATE ST STE 100, TRAVERSE CITY, MI 49686-5805
(231) 933-6001
(231) 947-1506
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528122207
NPI
MI
Enumeration date
02/17/2010
Last updated
02/17/2010
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