Little Traverse Bay Bands of Odawa Indians

NPI #1124052816 in Petoskey, Michigan

Provider Information

NPI Number
1124052816
Entity Type
Organization
Organization Name
Little Traverse Bay Bands of Odawa Indians
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jul 10, 2006
Last Updated
Jul 25, 2025

Practice Location

Address
1260 AJIJAAK AVE
ZIP Code
49770-8330
Phone
(231) 242-1700

Authorized Official

Name
CHRISTINA DUBOIS
Title
ASSISTANT HEALTH DIRECTOR
Phone
(231) 242-1611

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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