Organization · Type 2 NPI

Northwest Michigan Surgical Group, P.c.

Surgery Physician · Traverse City, MI

NPI number 1386659043 Active

Practice location

872 Munson Ave Ste C
Traverse City, MI 49686-3638

Fax (231) 935-2850

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XNone listed
Surgery Physician Primary 208600000XJM008369 (MI)
Vascular Surgery Physician 2086S0129XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1386659043

Northwest Michigan Surgical Group, P.c.'s National Provider Identifier is 1386659043, issued on Jul 30, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Traverse City, MI. The record was last updated on Jul 25, 2025.