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

Creekside Clinic, LLC

Organization Family Medicine Physician · NPI 1558390799

Creekside Clinic, LLC is a Family Medicine Physician in Traverse City, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1225 W Frnt ST
Traverse City, MI 49684-2317
Phone: (231) 935-0788
Fax: (231) 935-0787
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Physical Therapist Taxonomy 225100000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1558390799
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Spence — Owner/Physician · (231) 935-0788
NPI enumeratedJuly 1, 2006
Last updated in NPPESDecember 8, 2012
Mailing address1225 W Front St, Traverse City, MI 49684-2317

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