Organization
BIRCH TREE PODIATRY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL T LATHROP DPM (PRESIDENT)
(231) 946-8822
Entity
Organization
Contact information
Practice address
620 WOODMERE AVE, TRAVERSE CITY, MI 49686-3397
(231) 946-8822
(231) 947-0977
Mailing address
620 WOODMERE AVE, TRAVERSE CITY, MI 49686-3397
(231) 946-8822
(231) 947-0977
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
DL000642
MI
Other
Enumeration date
06/04/2006
Last updated
11/29/2010
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