MEDICARE: GRAND TRAVERSE FOOT & ANKLE CENTER P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	5901001664	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396928297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAND TRAVERSE FOOT & ANKLE CENTER P.C.

Provider Business Mailing Address
First Line	:	4246 N. THREE MILE RD.
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686
Country	:	US
Telephone Number	:	231-922-9100
Fax Number	:	231-922-9180

Provider Business Practice Location Address
First Line	:	4246 N. THREE MILE RD.
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686
Country	:	US
Telephone Number	:	231-922-9100
Fax Number	:	231-922-9180

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	THERESA MARIE ZYWICKI
Credential	:
Telephone Number	:	231-922-9100

Provider Enumeration Date	:	12/13/2007
Last Update Date	:	07/10/2013

Similar Medicare Providers

1033954250 — ASHLEY MASTER TLLP
Practice Location Address:

700 E HAMMOND RD STE 200
TRAVERSE CITY, MI
49686-8641

Practice Phone: 231-947-2255
Practice Fax: 231-947-5982

1508267964 — JESSICA ZUIDERVEEN COLTON M.A. C.C.C.-SLP
Practice Location Address:

627 WOODLAND DR
TRAVERSE CITY, MI
49686-3551

Practice Phone: 231-620-2616
Practice Fax:

1891729398 — MR. KEITH ERIK ANDERSON RN, NP
Practice Location Address:

550 MUNSON AVE
TRAVERSE CITY, MI
49686

Practice Phone: 231-935-2686
Practice Fax: 231-935-2687

1457703548 — CASEY NICHOLE GREEN PA-C
Practice Location Address:

1023 BUSINESS PARK DR
TRAVERSE CITY, MI
49686-8372

Practice Phone: 231-389-6982
Practice Fax: 231-216-7648

1124171954 — PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Practice Location Address:

700 E HAMMOND RD STE 200
TRAVERSE CITY, MI
49686-8641

Practice Phone: 231-947-2255
Practice Fax: 231-947-5982

1922934702 — ZENKI LOTUS INSTITUTE
Practice Location Address:

503 HASTINGS ST
TRAVERSE CITY, MI
49686-3435

Practice Phone: 231-620-0472
Practice Fax:

1073445235 — GREAT LAKES ONLINE COUNSELING LLC
Practice Location Address:

602 BLOOMFIELD RD
TRAVERSE CITY, MI
49686-2835

Practice Phone: 231-735-8250
Practice Fax:

Directions to “GRAND TRAVERSE FOOT & ANKLE CENTER P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.