Biocare PLLC 2
Family Medicine in Traverse City, MI. Organization (NPI-2).
NPI number1982206579
StatusActive
Last updated in NPPESNov 10, 2020
Details
- NPI
- 1982206579
- Entity type
- Organization (NPI-2)
- Legal business name
- Biocare PLLC 2
- Organization subpart
- No
- Enumeration date
- Nov 10, 2020
- Certification date
- Nov 10, 2020
- Last updated
- Nov 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
3271 Racquet Club DrTraverse City, MI 49684-4708
Phone 231-735-8006 · Fax 231-735-8023
Mailing address
3271 Racquet Club DrTraverse City, MI 49684-4708
Phone 231-735-8006 · Fax 231-735-8023
Authorized official
James Berg
Partner
2317358006
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