Organization
GRAND TRAVERSE HEART INSTITUTE
Active
Organization
GRAND TRAVERSE HEART INSTITUTE
Active
Other names
Grand Traverse Heart Associates
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE L SUPINA (BILLING DIRECTOR)
(231) 935-5743
Entity
Organization
Contact information
Practice address
1200 SIXTH ST, SUITE 200, TRAVERSE CITY, MI 49684-2369
(231) 935-5800
(231) 935-5822
Mailing address
PO BOX 1627, 1200 SIXTH STREET #200, TRAVERSE CITY, MI 49685-1627
(231) 935-5800
(231) 935-5822
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MI
Other
Enumeration date
09/20/2005
Last updated
07/21/2022
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