Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Birch Tree Podiatry Group PC

Organization Podiatric Clinic/Center · NPI 1639117039

Birch Tree Podiatry Group PC is a Podiatric Clinic/Center in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

620 Woodmere Ave
Traverse City, MI 49686-3397
Phone: (231) 946-8822
Fax: (231) 947-0977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatric Clinic/Center (primary) Taxonomy 261QP1100X · Licence DL000642 (MI)

Record details

NPI number1639117039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Lathrop — President · (231) 946-8822
NPI enumeratedJune 4, 2006
Last updated in NPPESNovember 29, 2010
Mailing address620 Woodmere Ave, Traverse City, MI 49686-3397

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