# GRAND TRAVERSE INTERNISTS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578559365
- **Authorized official:** MR. ROBERT LEON PACER MD (PRESIDENT)
- **Authorized official phone:** (231) 935-0850

## Contact information

- **Practice address:** 5015 N. ROYAL DRIVE, TRAVERSE CITY, MI 49684
- **Practice address phone:** (231) 935-0850
- **Practice address fax:** (231) 935-0869
- **Mailing address:** 5015 N. ROYAL DRIVE, TRAVERSE CITY, MI 49684
- **Mailing address phone:** (231) 935-0850
- **Mailing address fax:** (231) 935-0869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301047167 | MI | Yes |

## Other

- **Enumeration date:** 09/27/2005
- **Last updated:** 02/18/2011