Organization
USCG AIRSTA TRAVERSE CITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY LOUISE BUTTRICK D.D.S. (CHIEF HEALTH SERVICES)
(231) 922-8282
Entity
Organization
Contact information
Practice address
1175 AIRPORT ACCESS RD, TRAVERSE CITY, MI 49686-3513
(231) 922-8282
(231) 922-8292
Mailing address
1175 AIRPORT ACCESS RD, TRAVERSE CITY, MI 49686-3513
(231) 922-8282
(231) 922-8292
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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