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

Northern Michigan Physical Medicine PLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1043499353

Northern Michigan Physical Medicine PLC 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

Practice location Address checks out

2780 Charlevoix Ave 19
Petoskey, MI 49770-8058
Phone: (231) 347-9800
Fax: (231) 347-9850
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence GK012925 (MI)

Record details

NPI number1043499353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerald Klooster — Officer · (231) 347-9800
NPI enumeratedNovember 2, 2007
Last updated in NPPESNovember 13, 2007
Mailing address2780 Charlevoix Ave, 19, Petoskey, MI 49770-8058

Other providers in Petoskey