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Dr. Norman J Licht, MD
Orthopedic Foot and Ankle Surgery Physician in Traverse City, Michigan
NPI 1942224894

Norman J Licht is a Orthopedic Foot and Ankle Surgery Physician based in Traverse City, MI and is specialized in Foot and Ankle Surgery. Norman J Licht practices in Traverse City, MI and has the professional credentials of MD. The NPI Number for Norman J Licht is 1942224894 and holds a License No. 4301047445 (Michigan).

The current practice location address for Norman J Licht is 4045 W Royal Dr, Traverse City, MI and can be reached out via phone at 231-935-0900 and via fax at 231-935-0308.

Location: 4045 W Royal Dr, Traverse City, MI, 49684-8965
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942224894
Provider Name
Norman J Licht
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4045 W Royal Dr, Traverse City, MI, 49684-8965
Phone Number
231-935-0900
Fax Number
231-935-0308
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103105006 05 MI
institution
Provider Business Practice Location Address Details
Address
4045 W Royal Dr
City
Traverse City
State
Michigan
Zip
49684-8965
Phone Number
231-935-0900
Fax Number
231-935-0308
person
Provider Business Mailing Address Details
Address
4045 W Royal Dr
City
Traverse City
State
Michigan
Zip
49684-8965
Phone Number
231-935-0900
Fax Number
231-935-0308
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Foot and Ankle Surgery
Taxonomy
207XX0004X
License No.
4301047445 (Michigan)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
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