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

Traverse Bay Medical

Organization Family Medicine Physician · NPI 1316103930

Traverse Bay Medical is a Family Medicine Physician in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008

Practice location Address checks out

207 Circle Dr
Traverse City, MI 49684-2347
Phone: (231) 933-8805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101012165 (MI)

Record details

NPI number1316103930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Louder — President · (231) 933-8805
NPI enumeratedAugust 3, 2008
Last updated in NPPESSeptember 22, 2008
Mailing address207 Circle Dr, Traverse City, MI 49684-2347

Other providers in Traverse City