Organization
HAND SURGERY OF NORTHERN MICHIGAN PLC
Active
Organization
HAND SURGERY OF NORTHERN MICHIGAN PLC
Active
Other names
Traverse Bay Hand Therapy PLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE LEE (ADMINISTRATOR)
(231) 935-0800
Entity
Organization
Contact information
Practice address
701 W FRONT ST, SUITE 100, TRAVERSE CITY, MI 49684-2236
(231) 995-9748
(231) 995-9745
Mailing address
701 W FRONT ST, SUITE 100, TRAVERSE CITY, MI 49684-2236
(231) 995-9748
(231) 995-9745
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540B811790
BCBSM
MI
Enumeration date
01/30/2007
Last updated
10/09/2018
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