Individual
ALYSSA M VERMEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-6370
(231) 935-6451
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-6370
(231) 935-6451
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5101021415
MI
208000000X
Pediatrics Physician
Primary
5101025574
MI
2080P0202X
Pediatric Cardiology Physician
036.142574
IL
2080P0202X
Pediatric Cardiology Physician
5101025574
MI
Other
Enumeration date
07/01/2014
Last updated
09/01/2020
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