BIRCH TREE PODIATRY GROUP PC
Ambulatory Health at Woodmere Ave, Traverse City, MI

License number
Michigan DL000642
Category
Ambulatory Health
Type
Podiatric
Owner
Name: DR. DANIEL T LATHROP DPM
Title: PRESIDENT
Phone: (231) 946-8822
Address
Address
620 Woodmere Ave, Traverse City, MI 49686
National Provider ID: 1639117039
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THE BIRCH TREE PODIATRY GROUP, PC

620 C Woodmere, Traverse City, MI 49684

Registration:
Jul 1, 1981
State ID:
044122
Business type:
Domestic Professional Service Corporation
Agent:
Dr. Daniel T. Lathrop

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