Organization
LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA DUBOIS (ASSISTANT HEALTH DIRECTOR)
(231) 242-1611
Entity
Organization
Contact information
Practice address
1260 AJIJAAK AVE, PETOSKEY, MI 49770-8330
(231) 242-1700
(231) 242-1717
Mailing address
1260 AJIJAAK AVE, PETOSKEY, MI 49770-8330
(231) 242-1700
(231) 242-1717
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
07/25/2025
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