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Maria I Cupp, PA-C
Medical Physician Assistant in Traverse City, Michigan
NPI 1558647354

Maria I Cupp is a Medical Physician Assistant based in Traverse City, MI and is specialized in Medical. Maria I Cupp practices in Traverse City, MI and has the professional credentials of PA-C. The NPI Number for Maria I Cupp is 1558647354 and holds a License No. 5601006218 (Michigan).

The current practice location address for Maria I Cupp is 1225 W Front St, Traverse City, MI and can be reached out via phone at 231-935-0788 and via fax at 231-935-0787.

Location: 1225 W Front St, Traverse City, MI, 49684-2368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558647354
Provider Name
Maria I Cupp
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1225 W Front St, Traverse City, MI, 49684-2368
Phone Number
231-935-0788
Fax Number
231-935-0787
Provider Enumeration Date
10/25/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080G310660 01 MI BLUE CROSS PPO TRUST
080G310660 01 MI BCN COMMERCIAL
080G310660 01 MO BC MEDICARE PLUS BLUE PPO
080G310660 01 MI BLUE CROSS TRADITIONAL
080G310660 01 MI BC BPP
institution
Provider Business Practice Location Address Details
Address
1225 W Front St
City
Traverse City
State
Michigan
Zip
49684-2368
Phone Number
231-935-0788
Fax Number
231-935-0787
person
Provider Business Mailing Address Details
Address
1225 W Front St
City
Traverse City
State
Michigan
Zip
49684-2368
Phone Number
231-935-0788
Fax Number
231-935-0787
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
5601006218 (Michigan)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
5601006218 (Michigan)
Definition
Definition to come...
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