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

Grand Traverse Womens Clinic PLLC

Organization Obstetrics Physician · NPI 1336194166

Grand Traverse Womens Clinic PLLC is an Obstetrics Physician 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?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 6th St Ste 400
Traverse City, MI 49684-2369
Phone: (231) 392-0650
Fax: (231) 392-0665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics Physician (primary) Taxonomy 207VX0000X (MI)

Record details

NPI number1336194166
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Madion — President · (231) 392-0650
NPI enumeratedMay 23, 2006
Last updated in NPPESSeptember 11, 2014
Mailing address1200 6th St, Ste 400, Traverse City, MI 49684-2369

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