Individual
ANDREW T MCCOUBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5000
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2386
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601003666
MI
Other
Enumeration date
09/15/2006
Last updated
07/16/2024
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