Individual
JILL NORENE POLMATEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1104 CASS ST, TRAVERSE CITY, MI 49684-3236
(231) 941-1155
(231) 941-1347
Mailing address
1104 CASS ST, TRAVERSE CITY, MI 49684-3236
(231) 941-1155
(231) 941-1347
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704155176
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4163111
—
MI
01
—
5008700740
BCBS
MI
Enumeration date
03/08/2006
Last updated
09/30/2016
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