Crystal Lake Clinic PC
Crystal Lake Clinic PC is a Family Medicine Physician in Interlochen, Michigan. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1975 Stirling DrInterlochen, MI 49643-9264
Phone: (231) 275-7965
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X |
Record details
| NPI number | 1417902057 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Nielsen — President · (231) 882-9661 |
| NPI enumerated | May 23, 2006 |
| Last updated in NPPES | February 14, 2011 |
| Mailing address | 6227 Frankfort Hwy, Benzonia, MI 49616-9654 |
Other providers in Interlochen
-
Mark A. Barber, DO
1975 Stirling Dr, Interlochen, MI 49643-9264 · (231) 275-7965