Third Avenue Family Clinic, PC
Third Avenue Family Clinic, PC is a Family Medicine Physician in Fruitport, Michigan. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
14 N Third AveFruitport, MI 49415
Phone: (231) 865-3918
Fax: (231) 865-3510
Show map & directions
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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 |
|---|
Record details
| NPI number | 1619997996 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joyce Stapel — Office Manager · (231) 865-3918 |
| NPI enumerated | July 20, 2006 |
| Last updated in NPPES | May 24, 2011 |
| Mailing address | 14 N 3rd Ave, Fruitport, MI 49415-8920 |
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Darrell S Roelandt, DO
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Saira Saleem
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Dr. Faith Elizabeth Sharp, DO
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Ramey Soukup, DO
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Chad Uptigrove, DO
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Kostadinos Vergos, DO
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W Richard Harris MD LLC
4295 Farr Rd, Fruitport, MI 49415-9753 · (231) 865-6428
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Kristen M Wagner, DO
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