NPI 1679990758

Brittany Channing-Noble Lister, MD

Practitioner Dermatology Physician Traverse City, MI

Practice location

Address: 550 Munson Ave STE 200, Traverse City, MI 49686-3580
Phone: (231) 935-8717

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 4301116172 (MI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1679990758
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2014
Record last updated: 25 Sep 2018

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.