Individual
EMILY E SEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1221 6TH ST STE 208, TRAVERSE CITY, MI 49684-2360
(231) 935-2045
(231) 935-2046
Mailing address
2513 MOMENTUM PLACE, CHICAGO, IL 60689-5325
(231) 935-6080
(231) 935-6081
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922381995
—
MI
Enumeration date
09/26/2011
Last updated
07/21/2022
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