institution
Grand Traverse Womens Clinic
Obstetrics & Gynecology Nurse Practitioner in Traverse City, Michigan
NPI 1942552559

Grand Traverse Womens Clinic is a Obstetrics & Gynecology Nurse Practitioner based in Traverse City, MI and is specialized in Obstetrics & Gynecology. Grand Traverse Womens Clinic practices in Traverse City, MI. The NPI Number for Grand Traverse Womens Clinic is 1942552559 and holds a License No. 4704273686 (Michigan).

The current practice location address for Grand Traverse Womens Clinic is 1200 Sixth St, Traverse City, MI and can be reached out via phone at 231-392-0655 and via fax at 231-392-0691. You can also correspond with Grand Traverse Womens Clinic through the mailing address at 1200 SIXTH ST, TRAVERSE CITY, MI - 49684-2369 (mailing address contact number: 231-392-0655).

Location: 1200 Sixth St, Traverse City, MI, 49684-2369
institution
Provider Profile Details
NPI Number
1942552559
Provider Name
Grand Traverse Womens Clinic
Credential
Provider Entity Type
Organization
Address
1200 Sixth St, Traverse City, MI, 49684-2369
Phone Number
231-392-0655
Fax Number
231-392-0691
Provider Enumeration Date
10/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4704273686 01 MI LICENSE
institution
Provider Business Practice Location Address Details
Address
1200 Sixth St
City
State
Zip
49684-2369
Phone Number
231-392-0655
Fax Number
231-392-0691
person
Provider Business Mailing Address Details
Address
1200 Sixth St
City
State
Zip
49684-2369
Phone Number
231-392-0655
Fax Number
231-392-0691
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
4704273686 (Michigan)
Definition
Definition to come...
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