Organization
BAYSIDE DOCS URGENT CARE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BROOKE JAMROG (MEDICAL BILLER)
(231) 933-3283
Entity
Organization
Contact information
Practice address
401 MUNSON AVE, TRAVERSE CITY, MI 49686-3041
(231) 933-9150
(231) 933-1553
Mailing address
401 MUNSON AVE, TRAVERSE CITY, MI 49686-3041
(231) 933-9150
(231) 933-1553
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
4301056827
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102803802
BCBS
MI
01
—
364465889
TRICARE
MI
05
—
4415649 TYPE 10
—
MI
01
—
P1143353
BCN
MI
Enumeration date
01/24/2007
Last updated
03/09/2017
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