Gravelie, Gwendolyn M

Gravelie, Gwendolyn M is an individual health care provider with primary practice located at 1400 Medical Campus Dr , Traverse City MI 49684-7823. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Gravelie, Gwendolyn M can be contacted via phone (231) 935-8000.

Contact Information

Primary practice address
1400 Medical Campus Dr Traverse City MI 49684-7823
Phone: (231) 935-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301109474 Michigan

Profile Details

NPI number 1093058737
LBN Legal business name Gravelie, Gwendolyn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2013
Last updated Dec 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers