Individual
JOAN M GRINER LICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3643 W FRONT ST STE A, TRAVERSE CITY, MI 49684-7760
(231) 935-0620
(231) 935-0626
Mailing address
3643 W FRONT ST, SUITE A, TRAVERSE CITY, MI 49684-7759
(231) 935-0620
(231) 935-0626
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
JG058054
MI
Other
Enumeration date
07/12/2006
Last updated
10/21/2014
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