Organization
LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS
Active
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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