Individual
DR. PETER T BUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3960 W ROYAL DR, TRAVERSE CITY, MI 49684-9200
(231) 947-0404
(231) 947-2190
Mailing address
3960 W ROYAL DR, TRAVERSE CITY, MI 49684-9200
(231) 947-0404
(231) 947-2190
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301054508
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11272895
CAQH
MI
05
—
2955642
—
MI
Enumeration date
04/13/2006
Last updated
11/24/2020
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