Individual
ANNALISE V PLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-2644
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
MI
Other
Enumeration date
02/01/2022
Last updated
06/06/2022
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