Provider Demographics
NPI:1679975544
Name:ZWART, ANNE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:ZWART
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:FRIEDLANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4977 SKYVIEW COURT, TRAVERSE BAY INTERNAL MEDICINE
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684
Mailing Address - Country:US
Mailing Address - Phone:772-643-6331
Mailing Address - Fax:
Practice Address - Street 1:4977 SKYVIEW COURT, TRAVERSE BAY INTERNAL MEDICINE
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684
Practice Address - Country:US
Practice Address - Phone:231-486-5516
Practice Address - Fax:231-421-1439
Is Sole Proprietor?:No
Enumeration Date:2014-09-22
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601007195207R00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine