Individual
DUANE R NOLFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
560 W MITCHELL ST, SUITE 505, PETOSKEY, MI 49770-2275
(231) 487-2100
(231) 487-6049
Mailing address
560 W MITCHELL ST, SUITE 505, PETOSKEY, MI 49770-2275
(231) 487-2100
(231) 487-6049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003481
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982921
—
MI
Enumeration date
11/07/2005
Last updated
04/30/2014
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