Individual
NICOLE JOAN ARCHAMBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 SIXTH ST STE 200, TRAVERSE CITY, MI 49684-2369
(231) 935-5800
(231) 935-5799
Mailing address
1827 HANSEN CIR, TRAVERSE CITY, MI 49685-7450
(906) 367-0448
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601007654
MI
Other
Enumeration date
02/05/2016
Last updated
01/18/2023
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