LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS

NPI # 

Practice Address:

2390 Mitchell Park Dr Ste D

Petoskey, MI, 49770-8965

Practice Phone:

231-242-1760

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X

Updated by NPPES on 5/20/2025. You can view the original data set for NPI # 1871272583 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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CMS CPT® coding data

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