Novello Specialty Clinic Pc
Multi-Specialty Clinic/Center in Traverse City, MI(View on Map)
Legal Business Name
Novello Specialty Clinic Pc
NPI Number
1629716964
NPI Type
Organization
Enumeration Date
05/26/2022
Specialties
(Taxonomies)Code
261QM1300X
207RR0500X
208800000X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
4290 COPPER RIDGE DR STE 110
4100 PARK FOREST DR STE 200
City
Traverse City
Traverse City
State
MI
MI
Postal Code
49684-7208
49684-7306
Country
US
US
Telephone Number
(231) 421-8505
(231) 600-7466
Authorized Official
Name
Kristen Elliott
Title or Position
DIRECTOR, OPERATIONS
Telephone Number
(231) 360-0183
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/15/2022
Provider Address
Other Multi-Specialty Clinics/Centers in Traverse City, Michigan:
Theresa Evans Lmsw Caadc Llc
May also be known as Trillium Counseling Services
Traverse City, MISpecialty: Multi-Specialty Clinic/Center (Primary)