Traverse City Eye Consultants P C

NPI #1861554636 in Kalkaska, Michigan

Provider Information

NPI Number: 1861554636
Entity Type: Organization
Organization Name: Traverse City Eye Consultants P C
Subpart: Yes (part of a larger organization)
Parent Organization: TRAVERSE CITY EYE CONSULTANTS P C
Primary Specialty: Ophthalmology
Enumeration Date: Dec 15, 2006
Last Updated: Mar 30, 2021

Practice Location

Address: 419 S CORAL ST
City: Kalkaska
State: Michigan
ZIP Code: 49646-2500
Phone: (231) 935-8101

Authorized Official

Name: KENNETH B GUM, M.D.
Title: DOCTOR
Phone: (231) 935-8101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Ophthalmology	207W00000X	Primary

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