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

Ravenna Family Practice, PC

Organization Family Medicine Physician · NPI 1497928469

Ravenna Family Practice, PC is a Family Medicine Physician in Ravenna, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
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

12520 Crockery Creek Dr
Ravenna, MI 49451
Phone: (231) 853-2954
Fax: (231) 853-6089
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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 · Licence 008430 (MI)

Record details

NPI number1497928469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Beechnau — Owner · (231) 853-2954
NPI enumeratedApril 10, 2008
Last updated in NPPESApril 10, 2008
Mailing address12520 Crockery Creek Dr., Ravenna, MI 49451

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