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 1316991755

Crystal Lake Clinic PC is a Family Medicine Physician in Benzonia, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6227 Frankfort Hwy
Benzonia, MI 49616-9654
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
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1316991755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Nielsen — President · (231) 882-9661
NPI enumeratedMay 20, 2006
Last updated in NPPESFebruary 14, 2011
Mailing address6227 Frankfort Hwy, Benzonia, MI 49616-9654

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