Individual provider · Type 1 NPI
Joan M. Griner Licht, MD
Procedural Dermatology Physician · Traverse City, MI
Practice location
3643 W Front St Ste A
Traverse City, MI 49684-7760
Fax (231) 935-0626
Mailing address
3643 W Front St, Suite A
Traverse City, MI 49684-7759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Procedural Dermatology Physician Primary | 207NS0135X | JG058054 (MI) |
Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…
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About NPI 1710902945
Joan M. Griner Licht, MD's National Provider Identifier is 1710902945, issued on Jul 12, 2006. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Traverse City, MI. The record was last updated on Oct 21, 2014.