Individual
DR. LAWRENCE H WARBASSE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2349
(231) 346-6800
(231) 346-6052
Mailing address
10850 E TRAVERSE HWY, STE. 4400, TRAVERSE CITY, MI 49684-1364
(231) 346-6800
(231) 346-6052
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301047414
MI
207R00000X
Internal Medicine Physician
Primary
4301047414
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4326502
—
MI
01
—
LW047414
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/14/2005
Last updated
01/02/2019
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