Joan M Griner Licht, MD
NPI #1710902945 in Traverse City, Michigan
Provider Information
- NPI Number
- 1710902945
- Entity Type
- Individual
- Name
- Joan M Griner Licht, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dermatology - Procedural Dermatology
- Credential
- MD
- Enumeration Date
- Jul 12, 2006
- Last Updated
- Oct 21, 2014
Practice Location
- Address
- 3643 W FRONT ST STE A
- City
- Traverse City
- State
- Michigan
- ZIP Code
- 49684-7760
- Phone
- (231) 935-0620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Procedural Dermatology — Procedural Dermatology |
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