Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 4301083009 | MI |
NPI | 1013130525 |
---|---|
Provider Name | Dr. Jill Elizabeth Vollbrecht |
First Address | Traverse City, MI 49684-2360 |
Second Address | Traverse City, MI 49684-2360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 30/12/2020 |