Electro Spa of Northern Michigan
NPI #1013239185 in Traverse City, Michigan
Provider Information
- NPI Number
- 1013239185
- Entity Type
- Organization
- Organization Name
- Electro Spa of Northern Michigan
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DANIEL M SARYA, DDS, MPH, PC
- Primary Specialty
- Specialist/Technologist, Other
- Enumeration Date
- Feb 17, 2010
- Last Updated
- Feb 17, 2010
Practice Location
- Address
- 403 E STATE ST STE 100
- City
- Traverse City
- State
- Michigan
- ZIP Code
- 49686-5805
- Phone
- (231) 933-6001
Authorized Official
- Name
- MRS. MARGUERITE J TILLEY
- Title
- CLINICIAN
- Phone
- (231) 933-6001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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