Individual
ROCHE J FEATHERSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684-2360
(231) 935-2400
(231) 935-2424
Mailing address
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684-2360
(231) 935-2400
(231) 935-2424
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301057988
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103277969
—
MI
Enumeration date
07/21/2006
Last updated
05/10/2021
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