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

Grand Traverse Pathology, PLLC

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1306868427

Grand Traverse Pathology, PLLC is an Anatomic Pathology & Clinical Pathology Physician in Traverse City, Michigan. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1105 6th St
Traverse City, MI 49684-2345
Phone: (231) 935-0499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 Hobart St, Cadillac, MI 49601-2331 — (231) 876-7200

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X

Record details

NPI number1306868427
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Ferguson — President · (231) 935-6108
NPI enumeratedJuly 25, 2006
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing addressPo Box 9099, Longview, TX 75608-9099

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