Individual
IRENA MUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684-7823
(231) 935-8000
(231) 935-8099
Mailing address
1427 NEWPORT ST UNIT 8, TRAVERSE CITY, MI 49686-2302
(586) 215-5998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301107845
MI
Other
Enumeration date
06/13/2015
Last updated
12/31/2018
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