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

John Street Clinic PC

Organization Internal Medicine Physician · NPI 1033253133

John Street Clinic PC is an Internal Medicine Physician in Lake City, Michigan. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
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

112 E John St
Lake City, MI 49651
Phone: (231) 839-4359
Fax: (231) 839-0223
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1033253133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sotero Ureta — Owner · (231) 839-4359
NPI enumeratedFebruary 20, 2007
Last updated in NPPESAugust 5, 2010
Mailing addressPo Box 213, Cadillac, MI 49601-0213

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