Birch Tree Podiatry Group PC
NPI #1639117039 in Traverse City, Michigan
Provider Information
- NPI Number
- 1639117039
- Entity Type
- Organization
- Organization Name
- Birch Tree Podiatry Group PC
- Primary Specialty
- Clinic/Center - Podiatric
- Enumeration Date
- Jun 4, 2006
- Last Updated
- Nov 29, 2010
Practice Location
- Address
- 620 WOODMERE AVE
- City
- Traverse City
- State
- Michigan
- ZIP Code
- 49686-3397
- Phone
- (231) 946-8822
Authorized Official
- Name
- DR. DANIEL T LATHROP, DPM
- Title
- PRESIDENT
- Phone
- (231) 946-8822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Podiatric — Podiatric |
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