Organization
GRAND TRAVERSE FOOT & ANKLE CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA MARIE ZYWICKI (OFFICE MANAGER)
(231) 922-9100
Entity
Organization
Contact information
Practice address
4246 N. THREE MILE RD., TRAVERSE CITY, MI 49686
(231) 922-9100
(231) 922-9180
Mailing address
4246 N. THREE MILE RD., TRAVERSE CITY, MI 49686
(231) 922-9100
(231) 922-9180
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001664
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132893049
—
MI
Enumeration date
12/13/2007
Last updated
07/10/2013
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