Individual
TRAVIS WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRC
Contact information
Practice address
704 EMMET ST, PETOSKEY, MI 49770-2910
(231) 347-5511
Mailing address
704 EMMET ST, PETOSKEY, MI 49770-2910
(231) 347-5511
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CPRC
MI
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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