Associates In Dermatology Of Traverse City
LBN: Associates In Dermatology Of Traverse City Pc
Associates In Dermatology Of Traverse City is an health care organization with primary practice located at 3643 W Front St , Traverse City MI 49684-7759. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as the primary health care specialty.
Associates In Dermatology Of Traverse City Pc can be contacted via phone (231) 935-0625, or through Griner, Joan Michelle via phone (231) 935-0625.
Contact Information
Primary practice address
3643 W Front St
Traverse City MI 49684-7759
Phone: (231) 935-0625
Fax: (231) 935-0626
Website:
Authorized official contact:
Name: Griner, Joan Michelle Doctor of Medicine (MD)
Phone: (231) 935-0625
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | JG058054 | Michigan |
Profile Details
| NPI number | 1861430779 |
|---|---|
| LBN Legal business name | Associates In Dermatology Of Traverse City Pc |
| DBA Doing business as | Associates In Dermatology Of Traverse City |
| Authorized official | Griner, Joan Michelle Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Oct 25th, 2007 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861430779 | NPPES |
| Michigan | Other | DF3512 | RAILROAD MEDICARE |
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