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

Alpine Family Medicine PLC

Organization Family Medicine Physician · NPI 1174577720

Alpine Family Medicine PLC is a Family Medicine Physician in Gaylord, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

652 N Otsego Ave
Gaylord, MI 49735-2502
Phone: (989) 732-3529
Fax: (989) 732-7865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence KK030249 (MI)

Record details

NPI number1174577720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Olson — Md/Owner · (989) 732-3529
NPI enumeratedMay 19, 2006
Last updated in NPPESJanuary 6, 2021
Certification dateJanuary 6, 2021
Mailing address652 N Otsego Ave, Gaylord, MI 49735-2502

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