Organization
GRAND TRAVERSE ORTHOPEDICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN C BRYANT DPM (MEMBER)
(231) 935-0957
Entity
Organization
Contact information
Practice address
5246 N ROYAL DR, TRAVERSE CITY, MI 49684-6984
(231) 935-0957
Mailing address
5246 N ROYAL DR, TRAVERSE CITY, MI 49684-6984
(231) 935-0957
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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