Individual
SALLY ANN ANCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2349
(231) 947-0673
(801) 740-2847
Mailing address
419 S CORAL ST, KALKASKA, MI 49646-2503
(231) 258-7502
(231) 258-7527
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101013590
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114951830
—
MI
01
—
SA013590
BCBS
—
Enumeration date
08/17/2006
Last updated
04/16/2021
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