National Provider Identifier Database

GRAND TRAVERSE ALLERGY PC
Allergy

A physician who specializes in the diagnosis, treatment, and management of allergies.


Contact Information

GRAND TRAVERSE ALLERGY PC
3899 W FRONT ST STE 1
TRAVERSE CITY, MI49684
Phone: 231-995-3657
Fax: 949-437-8317
Website:
Specialty Taxonomy Code
* Allergy 207KA0200X

* Indicates primary specialty

NPI Profile & details for GRAND TRAVERSE ALLERGY PC

NPI Number 1518091321
Legal business name
LBN
GRAND TRAVERSE ALLERGY PC
Authorized official HEATHER WIERMAN - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 03/15/2007
Last updated 03/11/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for GRAND TRAVERSE ALLERGY PC

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