Individual
DR. REBEKAH SUE NOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
328 MUNSON AVE, TRAVERSE CITY, MI 49686-3096
(231) 946-8460
Mailing address
328 MUNSON AVE STE A, TRAVERSE CITY, MI 49686-3097
(231) 946-8460
(231) 946-8507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004483
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4290
MEDICARE PTAN
MI
Enumeration date
05/27/2008
Last updated
12/17/2025
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