Organization
ELEVATE MEDICAL SPA LLC
Active
Other names
Elevate Medical Aesthetics and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA JEAN GOETZ FNP (OWNER)
(231) 622-8103
Entity
Organization
Contact information
Practice address
2230 E MITCHELL RD STE A, PETOSKEY, MI 49770-6601
(231) 622-8103
Mailing address
2230 E MITCHELL RD STE A, PETOSKEY, MI 49770-6601
(231) 622-8103
(949) 695-2102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/27/2023
Last updated
03/03/2026
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