GRAND TRAVERSE ALLERGY PC; NPI #1518091321

Contact Information

GRAND TRAVERSE ALLERGY PC

3899 W FRONT ST STE 1
TRAVERSE CITY, MI 49684

Phone: 231-995-3657
Fax: 949-437-8317
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Allergy	207KA0200X	03	Physician/Allergy/ Immunology

Indicates primary specialty

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NPI Profile & details for GRAND TRAVERSE ALLERGY PC

NPI Number	`1518091321`
LBN Legal business name	GRAND TRAVERSE ALLERGY PC
Authorized official	HEATHER WIERMAN - (OFFICE MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/15/2007
Last updated	03/11/2019 - About 7 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GRAND TRAVERSE ALLERGY PC

Contact Information

Specialty

Allergy

NPI Profile & details for GRAND TRAVERSE ALLERGY PC

Reviews for GRAND TRAVERSE ALLERGY PC