Grand Traverse Foot & Ankle Center P.C.

LBN: Grand Traverse Foot & Ankle Center P.C.
Grand Traverse Foot & Ankle Center P.C. is an health care organization with primary practice located at 4246 N. Three Mile Rd. , Traverse City MI 49686. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Grand Traverse Foot & Ankle Center P.C. can be contacted via phone (231) 922-9100, or through Zywicki, Theresa Marie via phone (231) 922-9100.

Contact Information

Primary practice address
4246 N. Three Mile Rd. Traverse City MI 49686
Phone: (231) 922-9100
Fax: (231) 922-9180
Website:
Map and Directions
Authorized official contact:
Name: Zywicki, Theresa Marie
Phone: (231) 922-9100

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901001664 Michigan

Profile Details

NPI number 1396928297
LBN Legal business name Grand Traverse Foot & Ankle Center P.C.
DBA Doing business as
Authorized official Zywicki, Theresa Marie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2007
Last updated Jul 10th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396928297 NPPES
Michigan MEDICAID 132893049

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