Individual
MARY PRIESTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 MUNSON AVE, TRAVERSE CITY, MI 49686-3580
(231) 935-8686
Mailing address
7079 CHERRYWOOD CT, TRAVERSE CITY, MI 49686-1812
(231) 463-1756
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
10/24/2019
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