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 1770791147

Pine Medical Group, PC is a Family Medicine Physician in Fremont, Michigan. Registered with an NPI since 2007.

In the registry since
2007
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

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
Rural Health Clinic/Center Taxonomy 261QR1300X
Surgical Physician Assistant Taxonomy 363AS0400X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1770791147
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marge Young — Adminstrator · (231) 924-4200
NPI enumeratedMay 18, 2007
Last updated in NPPESMay 14, 2010
Mailing address230 W Oak St, Fremont, MI 49412-1575

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