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

Northwest Michigan Surgical Group, PC

Organization Surgery Physician · NPI 1386659043

Northwest Michigan Surgical Group, PC is a Surgery Physician in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
3
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

872 Munson Ave Ste C
Traverse City, MI 49686-3638
Phone: (231) 935-8346
Fax: (231) 935-2850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence JM008369 (MI)
Surgery Physician Taxonomy 208600000X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1386659043
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James McDonnell — President/Owner · (231) 935-8346
Other names Professional Corporation
NPI enumeratedJuly 30, 2006
Last updated in NPPESJuly 25, 2025
Certification dateJuly 24, 2025
Mailing address872 Munson Ave Ste C, Traverse City, MI 49686-3638

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