Organization · Type 2 NPI

Old Mission Advanced Care, PLLC

Specialist · Traverse City, MI

NPI number 1902733652 Active

Practice location

148 E Front St Ste 301
Traverse City, MI 49684-5726

Call (231) 333-4388 Map

Fax (231) 525-2081

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1902733652

Old Mission Advanced Care, PLLC's National Provider Identifier is 1902733652, issued on May 6, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Traverse City, MI. The record was last updated on May 6, 2026.