Organization
GRAND TRAVERSE WOMENS CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY P MADION MD (PRESIDENT)
(231) 392-0650
Entity
Organization
Contact information
Practice address
1200 6TH ST, STE 400, TRAVERSE CITY, MI 49684-2369
(231) 392-0650
(231) 392-0665
Mailing address
1200 6TH ST, STE 400, TRAVERSE CITY, MI 49684-2369
(231) 392-0650
(231) 392-0665
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
MI
Other
Enumeration date
05/23/2006
Last updated
09/11/2014
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