Organization
SLEEP DIAGNOSTICS OF NORTHERN MICHIGAN P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALAN WALKER (PRESIDENT)
(231) 935-9275
Entity
Organization
Contact information
Practice address
550 MUNSON AVE, SUITE 202, TRAVERSE CITY, MI 49686-3580
(231) 935-9275
(231) 935-9280
Mailing address
550 MUNSON AVE, SUITE 202, TRAVERSE CITY, MI 49686-3580
(231) 935-9275
(231) 935-9280
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
DW007582
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290B810560
BCBSM GROUP #
MI
Enumeration date
08/30/2006
Last updated
04/22/2009
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