Individual
DR. NORMAN J LICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4045 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 935-0900
(231) 935-0308
Mailing address
4045 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 935-0900
(231) 935-0308
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
4301047445
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103105006
—
MI
Enumeration date
07/26/2006
Last updated
07/08/2007
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