Organization
KIDS CREEK CHILDRENS CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA MULLEN (PRACTICE ADMINISTRATOR)
(231) 935-0555
Entity
Organization
Contact information
Practice address
5024 N ROYAL DR, TRAVERSE CITY, MI 49684-9230
(231) 935-0555
(231) 935-0562
Mailing address
5024 N ROYAL DR, TRAVERSE CITY, MI 49684-9230
(231) 935-0555
(231) 935-0562
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
MI
Other
Enumeration date
07/22/2006
Last updated
06/27/2024
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