| NPI | 1861430779 |
|---|---|
| Doing Business As | ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY |
| Entity Type | Organization |
| Authorized Contact | JOAN MICHELLE GRINER President 231-935-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MI JG058054) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-10-25 |