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

Northern Michigan Physical Medicine PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1912121641

Northern Michigan Physical Medicine PC is a Physical Medicine & Rehabilitation Physician in Petoskey, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
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

2780 Charlevoix Ave Ste 19
Petoskey, MI 49770-8058
Phone: (231) 347-9800
Fax: (231) 347-9850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X (MI)

Record details

NPI number1912121641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerald Klooster — Officer · (231) 347-9800
NPI enumeratedApril 12, 2007
Last updated in NPPESNovember 27, 2007
Mailing address2780 Charlevoix Ave, Suite 19, Petoskey, MI 49770-8058

Other providers in Petoskey