| NPI | 1801881461 |
|---|---|
| Doing Business As | GRAND TRAVERSE HEART ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | BONNIE L SUPINA Billing Director 231-935-5743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2022-07-21 |