| NPI | 1750398871 |
|---|---|
| Doing Business As | GRAND TRAVERSE CHILDREN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | LEEANN B SPRUNK Office Manager 231-935-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2022-07-21 |