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

Birch Shore Primary Care PLLC

Organization Internal Medicine Physician · NPI 1396609467

Birch Shore Primary Care PLLC is an Internal Medicine Physician in Manistee, Michigan. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3021 Schoedel Rd
Manistee, MI 49660-9753
Phone: (231) 397-9229
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1396609467
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNorthwoods Health Collective
Authorized official Charles Vandenberg — President · (660) 988-0795
NPI enumeratedDecember 12, 2025
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address3021 Schoedel Rd, Manistee, MI 49660-9753

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