Grand Traverse Surgery P.C. in Traverse City - Surgery
Grand Traverse Surgery P.C. - NPI 1639162589
Grand Traverse Surgery P.C. is a Surgery in Traverse City, Michigan. Grand Traverse Surgery P.C. practices all healthcare services and medical treatments related to Surgery. The NPI Number for Grand Traverse Surgery P.C. is 1639162589. The last update date is 2014-10-29.
Grand Traverse Surgery P.C.'s current location address is 701 W Front St, Traverse City, Michigan. You can contact this provider via phone number 2313464023 and fax number 2319327311. The mailing address for Grand Traverse Surgery P.C. is 701 W Front St, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Grand Traverse Surgery P.C. |
---|---|
Address | 701 W Front St, Traverse City, Michigan |
Phone Number | 2313464023 |
Fax Number | 2319327311 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Featherstone J Roche |
Credentials | MD |
Telephone Number | 2319358890 |
NPI Number Detail
NPI Number | 1639162589 |
---|---|
Provider Enumeration Date | 2005-08-25 |
Last Updated Date | 2014-10-29 |
Provider Mailing Address Detail
Address | 701 W Front St |
---|---|
City | Traverse City |
State | Michigan (MI) |
Post Code | 496842287 |
Phone Number | 2313464023 |
Fax Number | 2319327311 |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
---|---|
Taxonomy | 208600000X |
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
Post Comment/ Review Below
What is the unique identification code assigned to Grand Traverse Surgery P.C. by the Centers for Medicare & Medicaid Services?
The Grand Traverse Surgery P.C. has been issued the NPI (National Provider Identifier) 1639162589. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Grand Traverse Surgery P.C.'s physical address?
The Grand Traverse Surgery P.C. is physically located at 701 W Front St, in the city of Traverse City, MI, with the postal code 496842287.
What is Grand Traverse Surgery P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Grand Traverse Surgery P.C.'s specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639162589 to Grand Traverse Surgery P.C.?
The Centers for Medicare & Medicaid Services assigned the 1639162589 to Grand Traverse Surgery P.C. on 2005-08-25.
When was the information regarding Grand Traverse Surgery P.C. most recently updated?
The details pertaining to the Grand Traverse Surgery P.C., including its address, specialty, and other relevant information, were last refreshed on 2014-10-29.