Individual
DR. FLORA ERMENIA BIANCALANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3189 LOGAN VALLEY RD, TRAVERSE CITY, MI 49684-4772
(231) 932-1988
(231) 932-7693
Mailing address
3189 LOGAN VALLEY RD, TRAVERSE CITY, MI 49684-4772
(231) 932-1988
(231) 932-7693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301072242
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649238098
—
MI
05
—
429144310
—
MI
Enumeration date
05/03/2006
Last updated
06/27/2008
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