Individual
ANNE M CAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1719 S GARFIELD AVE, TRAVERSE CITY, MI 49686-4337
(231) 935-0799
(231) 935-0962
Mailing address
1719 S GARFIELD AVE, TRAVERSE CITY, MI 49686-4337
(231) 935-0799
(231) 935-0962
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301044505
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MI4301044505
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103905141
BCBS
—
05
—
1669441457
—
MI
05
—
4183240
—
MI
Enumeration date
03/15/2006
Last updated
01/05/2017
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