Organization · Type 2 NPI

Northwestern Michigan College

Student Health Clinic/Center · Traverse City, MI

NPI number 1700033859 Active

Practice location

1701 E Front St, L.b. 106
Traverse City, MI 49686-3016

Fax (231) 995-1923

Specialties and licenses

Taxonomy	Code	License
Student Health Clinic/Center Primary	261QS1000X	4704147470 (MI)

Student Health Clinic/Center: Definition to come...

NPI record

NPI: 1700033859
Entity type: Organization (Type 2)
Issued: Aug 20, 2008
Last updated: Aug 20, 2008
Status: Active

Other names

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Northwestern Michigan College Student Health Services · doing business as

Authorized official

Ms. Renee Rose Jacobson, F.N.P.
Director of Health Services
(231) 995-1256

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About NPI 1700033859

Northwestern Michigan College's National Provider Identifier is 1700033859, issued on Aug 20, 2008. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Traverse City, MI. The record was last updated on Aug 20, 2008.