Organization
TRAVERSE AREA PEDIATRIC AND ADOLESCENT CLINIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARLA MARIE SMITH M.D. (MANAGING PARTNER)
(231) 421-8099
Entity
Organization
Contact information
Practice address
4020 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 421-8099
(231) 421-8599
Mailing address
4020 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 421-8099
(231) 421-8599
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2522728
MI
Other
Enumeration date
05/05/2011
Last updated
04/16/2013
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