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

Northwest Michigan Surgical Group, PC

Organization Surgery Physician · NPI 1386659043

Northwest Michigan Surgical Group, PC provides Surgery Physician services in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

872 Munson Ave Ste C
Traverse City, MI 49686-3638
Phone: (231) 935-8346
Fax: (231) 935-2850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence JM008369 (MI)
Surgery Physician Taxonomy 208600000X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1386659043
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James McDonnell — President/Owner · (231) 935-8346
Other names Professional Corporation
NPI enumeratedJuly 30, 2006
Last updated in NPPESJuly 25, 2025
Certification dateJuly 24, 2025
Mailing address872 Munson Ave Ste C, Traverse City, MI 49686-3638

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