institution
Bayside Allergy, P.c.
Allergy Physician in Traverse City, Michigan
NPI 1831388537

Bayside Allergy, P.c. is an Allergy Physician based in Traverse City, MI and is specialized in Allergy. Bayside Allergy, P.c. practices in Traverse City, MI. The NPI Number for Bayside Allergy, P.c. is 1831388537 and holds a License No. JM073559 (Michigan).

The current practice location address for Bayside Allergy, P.c. is 447 Munson Ave, Traverse City, MI and can be reached out via phone at 231-929-9090 and via fax at 231-929-9092.

Location: 447 Munson Ave, Traverse City, MI, 49686-3084
institution
Provider Profile Details
NPI Number
1831388537
Provider Name
Bayside Allergy, P.c.
Credential
Provider Entity Type
Organization
Address
447 Munson Ave, Traverse City, MI, 49686-3084
Phone Number
231-929-9090
Fax Number
231-929-9092
Provider Enumeration Date
10/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1124089073 05 MI
1831388537 01 MI BAYSIDE ALLERGY PC
1124089073 01 MI JAMES S MCCLELLAN III MD
1831388537 01 MI R/R MEDICARE NPI
030B812180 01 MI BCBS
1831388537 01 MI GROUP NPI NUMBER
DN0970 01 MI R/R MEDICARE GRP PTAN
1124089073 01 MI INDIVIDUAL NPI NUMBER
G38913 01 MI PRIORIITY NUMBER
0P50390 01 MI MEDICARE GROUP NUMBER
P00603999 01 MI R/R MEDICARE PTAN
1124089073 01 MI R/R/MEDICARE MEMBER NPI
institution
Provider Business Practice Location Address Details
Address
447 Munson Ave
City
State
Zip
49686-3084
Phone Number
231-929-9090
Fax Number
231-929-9092
person
Provider Business Mailing Address Details
Address
447 Munson Ave
City
State
Zip
49686-3084
Phone Number
231-929-9090
Fax Number
231-929-9092
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
JM073559 (Michigan)
Definition
Definition to come...
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