Organization
GRAND TRAVERSE OPHTHALMOLOGY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNE L MUSSER (BILLING MANAGER)
(231) 932-4336
Entity
Organization
Contact information
Practice address
929 BUSINESS PARK DR, TRAVERSE CITY, MI 49686-8683
(231) 947-6246
(231) 947-8864
Mailing address
929 BUSINESS PARK DR, TRAVERSE CITY, MI 49686-8683
(231) 947-6246
(231) 947-8864
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
09/01/2005
Last updated
04/03/2024
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