Individual
CAMILLE GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN NP
Contact information
Practice address
1221 SIXTH ST, SUITE 206, TRAVERSE CITY, MI 49684-2701
(231) 935-5090
(231) 935-5093
Mailing address
1221 SIXTH ST, SUITE 206, TRAVERSE CITY, MI 49684-2701
(231) 935-5090
(231) 935-5093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704192319
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104156180
—
MI
Enumeration date
01/18/2006
Last updated
01/20/2010
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