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Michelle Witkop, NP
Family Nurse Practitioner in Traverse City, Michigan
NPI 1356425060

Michelle Witkop is a Family Nurse Practitioner based in Traverse City, MI and is specialized in Family. Michelle Witkop practices in Traverse City, MI and has the professional credentials of NP. The NPI Number for Michelle Witkop is 1356425060 and holds a License No. 4704118876 (Michigan).

The current practice location address for Michelle Witkop is 1105 6Th St, Traverse City, MI and can be reached out via phone at 231-935-6520 and via fax at 231-935-9116. You can also correspond with Michelle Witkop through the mailing address at 1105 6TH ST, TRAVERSE CITY, MI - 49684-2345 (mailing address contact number: 231-935-6520).

Location: 1105 6Th St, Traverse City, MI, 49684-2345
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Provider Profile Details
NPI Number
1356425060
Provider Name
Michelle Witkop
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1105 6Th St, Traverse City, MI, 49684-2345
Phone Number
231-935-6520
Fax Number
231-935-9116
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104307463 05 MI
MW118876 01 MI BLUE CROSS
104518216 05 MI
500B814150 01 MI BLUE CROSS GROUP PRACTICE PIN
institution
Provider Business Practice Location Address Details
Address
1105 6Th St
City
State
Zip
49684-2345
Phone Number
231-935-6520
Fax Number
231-935-9116
person
Provider Business Mailing Address Details
Address
1105 6Th St
City
State
Zip
49684-2345
Phone Number
231-935-6520
Fax Number
231-935-9116
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704118876 (Michigan)
Definition
Definition to come...
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