Organization
GRAND TRAVERSE ALLERGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER WIERMAN (OFFICE MANAGER)
(231) 995-3657
Entity
Organization
Contact information
Practice address
3899 W FRONT ST STE 1, TRAVERSE CITY, MI 49684
(231) 995-3657
(949) 437-8317
Mailing address
3899 W FRONT ST STE 1, TRAVERSE CITY, MI 49684-8104
(231) 995-3657
(949) 437-8317
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
03/11/2019
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