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

Grand Traverse Physician Services PC

Organization Family Medicine Physician · NPI 1932913217

Grand Traverse Physician Services PC is a Family Medicine Physician in Traverse City, Michigan. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
6
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

1105 6th St
Traverse City, MI 49684-2386
Phone: (231) 935-5000
Fax: (231) 935-6548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1932913217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Heinrich — Owner/President · (337) 609-1221
NPI enumeratedFebruary 5, 2025
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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