Grand Traverse Womens Clinic

NPI #1558483362 in Traverse City, Michigan

Provider Information

NPI Number: 1558483362
Entity Type: Organization
Organization Name: Grand Traverse Womens Clinic
Primary Specialty: Midwife
Enumeration Date: Apr 4, 2007
Last Updated: Aug 29, 2012

Practice Location

Address: 1200 SIXTH ST
Address 2: STE 400
City: Traverse City
State: Michigan
ZIP Code: 49684-2369
Phone: (231) 392-0650

Authorized Official

Name: JANICE LYNN MCALLISTER, CNM
Title: MIDWIFE
Phone: (231) 392-0650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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