Grand Traverse Heart Institute
NPI #1801881461 in Traverse City, Michigan
Provider Information
- NPI Number
- 1801881461
- Entity Type
- Organization
- Organization Name
- Grand Traverse Heart Institute
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 20, 2005
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1200 SIXTH ST
- Address 2
- SUITE 200
- City
- Traverse City
- State
- Michigan
- ZIP Code
- 49684-2369
- Phone
- (231) 935-5800
Authorized Official
- Name
- BONNIE L SUPINA
- Title
- BILLING DIRECTOR
- Phone
- (231) 935-5743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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