Organization
GRAND TRAVERSE SURGERY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROCHE J FEATHERSTONE MD (PRESIDENT)
(231) 935-8890
Entity
Organization
Contact information
Practice address
701 W FRONT ST, STE 200, TRAVERSE CITY, MI 49684-2287
(231) 346-4000
(231) 932-7311
Mailing address
701 W FRONT ST, STE 200, TRAVERSE CITY, MI 49684-2287
(231) 346-4023
(231) 932-7311
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/25/2005
Last updated
10/29/2014
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