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

Grand Traverse Surgery PC

Organization Surgery Physician · NPI 1639162589

Grand Traverse Surgery PC is a Surgery Physician in Traverse City, Michigan. Registered with an NPI since 2005.

In the registry since
2005
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

701 W Frnt ST Ste 200
Traverse City, MI 49684-2287
Phone: (231) 346-4000
Fax: (231) 932-7311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1639162589
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roche Featherstone — President · (231) 935-8890
NPI enumeratedAugust 25, 2005
Last updated in NPPESOctober 29, 2014
Mailing address701 W Front St, Ste 200, Traverse City, MI 49684-2287

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