Novello Specialty Clinic Pc

Specialty details in registry · Traverse City, MI

Call (231) 600-7466 Directions

At a glance

4100 Park Forest Dr Ste 200, Traverse City, MI 49684-7306

NPPES record updated Apr 9, 2025. Public records can lag behind changes at a practice.

Before you call: a quick checklist

Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

4100 Park Forest Dr Ste 200
Traverse City, MI 49684-7306

Professional details: NPI, taxonomy & registry record

NPI1629716964

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QM1300X
Enumeration date: May 26, 2022
Record updated: Apr 9, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

207RR0500X

Specialty details in registry

208800000X

Specialty details in registry

261QM1300X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4100 Park Forest Dr Ste 200
Traverse City, MI 49684-7306

Phone: (231) 600-7466

Mailing address

4290 COPPER RIDGE DR STE 110

TRAVERSE CITY, MI 496847208

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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