Organization
KEIRA DUVERNOY, DO, PC
Active
Other names
CENTER FOR INTEGRATIVE MEDICINE, PC
Organization subpart
No
Provider details
NPI number
Authorized official
KEIRA DUVERNOY DO (PRESIDENT)
(231) 947-0900
Entity
Organization
Contact information
Practice address
697 HANNAH AVE, SUITE D, TRAVERSE CITY, MI 49686-2201
(231) 947-0900
Mailing address
697 HANNAH AVE, SUITE D, TRAVERSE CITY, MI 49686-2201
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101009710
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548234180
NPI1
—
Enumeration date
01/19/2011
Last updated
01/27/2011
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