NPI 1013239185
Electro Spa of Northern Michigan
Practice location
- Address
- 403 E State St STE 100, Traverse City, MI 49686-5805
- Phone
- (231) 933-6001
- Fax
- (231) 947-1506
Authorised official
- Name
- Marguerite J Tilley
- Title
- Clinician
- Phone
- (231) 933-6001
Registered specialties
Other Specialist/Technologist
Primary
Registry record
- NPI
- 1013239185
- Entity type
- Organization
- NPI issued
- 17 Feb 2010
- Record last updated
- 17 Feb 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.