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Southern Grand Traverse Medical

Medical Physician Assistant in Traverse City, MI · enumerated 2007 · authorized official Gary Schaub, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1851580815

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Grand Traverse Medical
Practice address 401 Munson Ave, Traverse City, MI, 49686
Phone (231) 995-4902
Fax (231) 932-7816
Enumeration date Oct 16, 2007
Last updated in NPPES Oct 16, 2007

Taxonomy & classification

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5601001376 (MI) Primary

Authorized official

Name Gary Schaub
Title Owner
Phone (231) 995-4902

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-10-16. Verify at npiregistry.cms.hhs.gov.
Where is Southern Grand Traverse Medical located?
The practice location on file with NPPES is in Traverse City, MI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-16.