Individual
DR. JODI MARIE HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3830 W FRONT ST, TRAVERSE CITY, MI 49684-8153
(231) 929-3888
(231) 929-4365
Mailing address
3830 W FRONT ST, TRAVERSE CITY, MI 49684-8153
(231) 929-3888
(231) 929-4365
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004107
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020070001
DMERC REG B
MI
01
—
900B86347
BCBS
MI
05
—
944976991
—
MI
Enumeration date
11/09/2005
Last updated
01/15/2010
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