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Individual

JULIE FAWAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5000
Mailing address
4212 WEATHERWOOD DR, TRAVERSE CITY, MI 49685-9793

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
4704359435
MI

Other

Enumeration date
11/10/2025
Last updated
12/18/2025
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