Organization
TRAVERSE CITY EYE CONSULTANTS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH B GUM M.D. (DOCTOR)
(231) 935-8101
Entity
Organization
Contact information
Practice address
5199 N ROYAL DR, TRAVERSE CITY, MI 49684-9201
(231) 935-8101
(231) 935-0955
Mailing address
5199 N ROYAL DR, TRAVERSE CITY, MI 49684-9201
(231) 935-8101
(231) 935-0955
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
MI
Other
Enumeration date
12/15/2006
Last updated
03/30/2021
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