Crystal Lake Clinic, PC
Crystal Lake Clinic, PC is a Family Medicine Physician in Manton, Michigan. Registered with an NPI since 2012.
- In the registry since
- 2012
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
115 E 7th StManton, MI 49663-9429
Phone: (231) 824-4100
Fax: (231) 824-4108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1306190475 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Nielsen — President · (231) 882-9661 |
| NPI enumerated | October 29, 2012 |
| Last updated in NPPES | October 29, 2012 |
| Mailing address | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Other providers in Manton
-
Manton Health Center, P LLC
115 E 7th St, Manton, MI 49663-9429 · (231) 715-6131