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

Pine River Medical Associates, PC

Organization Specialist · NPI 1538102694

Pine River Medical Associates, PC is a Specialist in Charlevoix, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
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

14734 Park Ave
Charlevoix, MI 49720
Phone: (231) 547-6554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence RT 046881 (MI)
Specialist Taxonomy 174400000X · Licence DJ033990 (MI)
Specialist Taxonomy 174400000X · Licence FS039750 (MI)
Specialist Taxonomy 174400000X · Licence EN 045102 (MI)
Specialist Taxonomy 174400000X · Licence DM 076754 (MI)
Specialist Taxonomy 174400000X · Licence MB 070397 (MI)
Specialist Taxonomy 174400000X · Licence JM 066688 (MI)

Record details

NPI number1538102694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Newcomb — Human Resource Officer · (231) 547-6554
NPI enumeratedJune 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing address14734 Park Ave, Charlevoix, MI 49720

Other providers in Charlevoix