Elevate Medical Spa LLC

NPI #1609552173 in Petoskey, Michigan

Provider Information

NPI Number: 1609552173
Entity Type: Organization
Organization Name: Elevate Medical Spa LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Jun 27, 2023
Last Updated: Sep 24, 2025

Practice Location

Address: 2230 E MITCHELL RD STE A
City: Petoskey
State: Michigan
ZIP Code: 49770-6601
Phone: (231) 622-8103

Authorized Official

Name: MARTHA JEAN GOETZ, FNP
Title: OWNER
Phone: (231) 622-8103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Nurse Practitioner	363L00000X	Primary

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