Individual
GEORGIA PLAGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1619 ANDERSON RD, PETOSKEY, MI 49770-9256
(231) 417-6090
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
07/27/2026
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