Individual
MS. BRITTANY CHANNING-NOBLE LISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 MUNSON AVE STE 200, TRAVERSE CITY, MI 49686-3580
(231) 935-8717
Mailing address
550 MUNSON AVE STE 200, TRAVERSE CITY, MI 49686-3580
(231) 649-4832
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301116172
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2014
Last updated
09/25/2018
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