Individual
SUSAN MICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10767 E TRAVERSE HWY, TRAVERSE CITY, MI 49684-6219
(231) 946-1112
Mailing address
10767 E TRAVERSE HWY, TRAVERSE CITY, MI 49684-6219
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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