Individual
ELEANOR J HOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
277 HARBOR VIEW LN, PETOSKEY, MI 49770-8692
(419) 872-3250
(419) 872-3258
Mailing address
2632 CROSSING CIR # 1035, TRAVERSE CITY, MI 49684-7930
(419) 872-3250
(419) 872-3258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35065656
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198067
—
OH
Enumeration date
06/23/2005
Last updated
05/16/2023
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