Individual
MRS. PAMELA ANN DUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5246 N ROYAL DR, TRAVERSE CITY, MI 49684-6984
(231) 935-0957
(231) 935-0961
Mailing address
2593 NELSON RD, TRAVERSE CITY, MI 49686-8557
(231) 313-6993
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704239577
MI
Other
Enumeration date
10/28/2020
Last updated
06/23/2022
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