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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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