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Electro Spa Of Northern Michigan
Other Specialist/Technologist in Traverse City, Michigan
NPI 1013239185

Electro Spa Of Northern Michigan is a Other Specialist/Technologist based in Traverse City, MI. Electro Spa Of Northern Michigan practices in Traverse City, MI. The NPI Number for Electro Spa Of Northern Michigan is 1013239185 and holds a License No. (Michigan).

The current practice location address for Electro Spa Of Northern Michigan is 403 E State St Ste 100, Traverse City, MI and can be reached out via phone at 231-933-6001 and via fax at 231-947-1506.

Location: 403 E State St Ste 100, Traverse City, MI, 49686-5805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013239185
Provider Name
Electro Spa Of Northern Michigan
Credential
Provider Entity Type
Organization
Address
403 E State St Ste 100, Traverse City, MI, 49686-5805
Phone Number
231-933-6001
Fax Number
231-947-1506
Provider Enumeration Date
02/17/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1528122207 01 MI NPI
institution
Provider Business Practice Location Address Details
Address
403 E State St Ste 100
City
Traverse City
State
Michigan
Zip
49686-5805
Phone Number
231-933-6001
Fax Number
231-947-1506
person
Provider Business Mailing Address Details
Address
403 E State St Ste 100
City
Traverse City
State
Michigan
Zip
49686-5805
Phone Number
231-933-6001
Fax Number
231-947-1506
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
()
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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