Individual
DAWN KETTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1291 E HARVEST, TRAVERSE CITY, MI 49685-8625
(231) 943-0786
Mailing address
1291 E HARVEST, TRAVERSE CITY, MI 49685-8625
(231) 943-0786
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704168503
MI
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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