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Organization

BAY AREA FAMILY CARE OF TRAVERSE CITY PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SALLY MILLER DO (PARTNER)
(231) 935-8755
Entity
Organization

Contact information

Practice address
906 BUSINESS PARK DR, TRAVERSE CITY, MI 49686-8683
(231) 935-8755
Mailing address
PO BOX 3318, GRAND RAPIDS, MI 49501-3318
(800) 968-6866
(616) 532-7230

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101009568
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DC7393
RAIL ROAD GROUP NUMBER
MI
Enumeration date
06/01/2005
Last updated
04/24/2008
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