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Individual

LINDA DANIELLE GOTTWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1105 SIXTH ST., TRAVERSE CITY, MI 49684
(231) 935-6210
Mailing address
1105 SIXTH ST., TRAVERSE CITY, MI 49684
(231) 935-6210

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3326362
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9428322
FL

Other

Enumeration date
06/13/2007
Last updated
12/29/2016
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