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Individual

DR. COREY K. TREADWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1104 CASS STREET, TRAVERSE CITY, MI 49684
(231) 941-1155
(231) 259-1005
Mailing address
1104 CASS STREET, TRAVERSE CITY, MI 49684
(231) 941-1155
(231) 259-1005

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301084179
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750599791
MI
Enumeration date
05/21/2007
Last updated
06/20/2024
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