institution
Southern Grand Traverse Medical
Medical Physician Assistant in Traverse City, Michigan
NPI 1851580815

Southern Grand Traverse Medical is a Medical Physician Assistant based in Traverse City, MI and is specialized in Medical. Southern Grand Traverse Medical practices in Traverse City, MI. The NPI Number for Southern Grand Traverse Medical is 1851580815 and holds a License No. 5601001376 (Michigan).

The current practice location address for Southern Grand Traverse Medical is 401 Munson Ave, Traverse City, MI and can be reached out via phone at 231-995-4902 and via fax at 231-932-7816. You can also correspond with Southern Grand Traverse Medical through the mailing address at 401 MUNSON AVE, TRAVERSE CITY, MI - 49686-3041 (mailing address contact number: 231-995-4902).

Location: 401 Munson Ave, Traverse City, MI, 49686-3041
institution
Provider Profile Details
NPI Number
1851580815
Provider Name
Southern Grand Traverse Medical
Credential
Provider Entity Type
Organization
Address
401 Munson Ave, Traverse City, MI, 49686-3041
Phone Number
231-995-4902
Fax Number
231-932-7816
Provider Enumeration Date
10/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
401 Munson Ave
City
State
Zip
49686-3041
Phone Number
231-995-4902
Fax Number
231-932-7816
person
Provider Business Mailing Address Details
Address
401 Munson Ave
City
State
Zip
49686-3041
Phone Number
231-995-4902
Fax Number
231-932-7816
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601001376 (Michigan)
Definition
Definition to come...
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