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

Crystal Lake Clinic, PC

Organization Family Medicine Physician · NPI 1316177611

Crystal Lake Clinic, PC is a Family Medicine Physician in Kingsley, Michigan. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2283 E M 113
Kingsley, MI 49649-9370
Phone: (231) 882-9661
Fax: (231) 882-9616
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1316177611
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Nielsen — President · (231) 882-9661
NPI enumeratedJuly 21, 2009
Last updated in NPPESNovember 6, 2018
Mailing address6227 Frankfort Hwy, Benzonia, MI 49616-8632

Other providers in Kingsley