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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOAN M GRINER LICHT, MD

Active

JOAN M GRINER LICHT, MD is a Procedural Dermatology healthcare provider located in TRAVERSE CITY, Michigan. NPI 1710902945 is currently active in the NPPES registry. Verify at CMS.

Procedural Dermatology · TRAVERSE CITY, MI

Registration Details

NPI Number
1710902945
Provider Type
Individual
Gender
Female
NPI Issued
Jul 12, 2006 (20.100692330494 yrs)
Last Updated
Oct 21, 2014
License
JG058054 (MI)

Practice Information

Address
3643 W FRONT ST STE A
TRAVERSE CITY, MI, 496847760
Browse MI providers · Browse ZIP 49684
Phone
2319350620
Fax
2319350626
Primary Specialty
Procedural Dermatology
207NS0135X

Other Procedural Dermatology Providers in TRAVERSE CITY, MI

Name Credential NPI
RAYMOND J DEAN MD 1023033255
JAMES JOSEPH SIMONS MD 1982766465
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.