| Doctor Name: | TRAVIS ANDREW TIRPAK |
| NPI Number: | 1013323690 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-BC |
| License Number: | 041.337585 |
| Business Practice Address: | 3 Erie Ct Oak Park, IL - 603022519 |
| Business Phone Number: | 7087636747 |
| Business Fax Number: | |
| Mailing Address: | 2000 Green Rd, Suite 300 ANN ARBOR |
| State: | MI |
| Postal Code: | 481051598 |
| Phone Number: | 7349953764 |
| Fax Number: | |
| NPI Enumeration Date: | 07/03/2014 |
| NPI Last Update Date: | 07/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 041.337585 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |