Organization
CARDIOTHORACIC SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARONE K NORMAN (OFFICE MGR)
(231) 935-5730
Entity
Organization
Contact information
Practice address
1221 6TH ST, SUITE 202, TRAVERSE CITY, MI 49684-2359
(231) 935-5730
Mailing address
1221 6TH ST, SUITE 202, TRAVERSE CITY, MI 49684-2359
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704123270
MI
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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