Individual
VINCENT G WORTHINGTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2349
(231) 947-0673
(801) 740-2847
Mailing address
PO BOX 107, TRAVERSE CITY, MI 49685-0107
(231) 947-0673
(801) 740-2847
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704175241
MI
Other
Enumeration date
06/16/2005
Last updated
07/08/2007
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