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

Pine Medical Group PC

Organization Family Medicine Physician · NPI 1093980187

Pine Medical Group PC is a Family Medicine Physician in Fremont, Michigan. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
7
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

230 W Oak St
Fremont, MI 49412-1575
Phone: (231) 924-4200
Fax: (231) 924-2027
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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
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1093980187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marge Young — Administrator · (231) 924-4200
NPI enumeratedApril 29, 2008
Last updated in NPPESFebruary 25, 2010
Mailing address230 W Oak St, Fremont, MI 49412-1575

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