| Geriatric Physician Staffing, P. C. | |
|
1513 N Orchard Dr Traverse City MI 49686-1946 | |
| (231) 838-2765 | |
| Not Available |
| Full Name | Geriatric Physician Staffing, P. C. |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1513 N Orchard Dr, Traverse City, Michigan |
| Authorized Official Name and Position | Kelly Ann O'sullivan (OWNER) |
| Authorized Official Contact | 2318382765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Physician Staffing, P. C. 1513 N Orchard Dr Traverse City MI 49686-1946 Ph: (231) 838-2765 | Geriatric Physician Staffing, P. C. 1513 N Orchard Dr Traverse City MI 49686-1946 Ph: (231) 838-2765 |
| NPI Number | 1215989868 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 09/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215989868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 4301081068 (Michigan) | Primary |
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