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 1902851777

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

In the registry since
2006
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

8225 Lake St
Bear Lake, MI 49614-9688
Phone: (231) 864-3314
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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 number1902851777
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Nielsen — President · (231) 882-9661
NPI enumeratedMay 23, 2006
Last updated in NPPESNovember 6, 2018
Mailing address6227 Frankfort Hwy, Benzonia, MI 49616-9654

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