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 1376512764

Pine Medical Group, PC is a Family Medicine Physician in Newaygo, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
8
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

211 W Pine Lake Dr
Newaygo, MI 49337-8029
Phone: (231) 652-1631
Fax: (231) 652-1733
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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
Rural Health Clinic/Center Taxonomy 261QR1300X
Surgical Physician Assistant Taxonomy 363AS0400X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1376512764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marge Young — Administrator · (231) 924-4200
NPI enumeratedMarch 16, 2006
Last updated in NPPESMay 14, 2010
Mailing address230 W Oak St, Fremont, MI 49412-1575

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