GRAND TRAVERSE ALLERGY PC – NPI #1518091321
Allergy & Immunology

A physician who specializes in the diagnosis, treatment, and management of allergies.

GRAND TRAVERSE ALLERGY PC is an allergy & immunologist located in TRAVERSE CITY, MI. NPPES has assigned the NPI number 1518091321 to GRAND TRAVERSE ALLERGY PC on March 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207KA0200X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology, specializing in Allergy

The NPI profile was previously updated about 7 years ago on Mar 11, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRAND TRAVERSE ALLERGY PC below.

NPI Profile for
GRAND TRAVERSE ALLERGY PC

NPI Number
1518091321
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRAND TRAVERSE ALLERGY PC
Primary location
3899 W FRONT ST STE 1
TRAVERSE CITY, MI 49684
Phone: (231) 995-3657 Fax: (949) 437-8317
1 Other location(s):
921 W Front St
Traverse City, MI 49684-2327
Phone: (231) 995-3657
Fax: (231) 995-3658
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HEATHER WIERMAN
OFFICE MANAGER
Phone: (231) 995-3657
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207KA0200X
- Allergy & Immunology / Allergy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.