Individual
KATELYN TOURVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 PRESQUE ISLE AVE-HEALTH CENTER, MARQUETTE, MI 49855
(906) 227-2355
Mailing address
380 MEESKE AVE, MARQUETTE, MI 49855-3219
(906) 869-2857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009457
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601009457
MICHIGAN PHYSICIAN ASSISTANT LICENSE
MI
Enumeration date
08/06/2019
Last updated
08/06/2019
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