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Organization

TMS SERVICES NORTH, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUIS FELIX OXHOLM D.O. (OFFICER)
(231) 421-8283
Entity
Organization

Contact information

Practice address
4020 COPPER VW, SUITE 211, TRAVERSE CITY, MI 49684-7098
(231) 421-8283
(231) 421-8284
Mailing address
4020 COPPER VW, SUITE 211, TRAVERSE CITY, MI 49684-7098
(231) 421-8283
(231) 421-8284

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
5101010993
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
265800431
BCBS
MI
01
P00134275
RR MEDICARE
MI
Enumeration date
06/18/2012
Last updated
06/18/2012
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