Samuel John Nystrom
Samuel John Nystrom is a Family Medicine Physician in Fruitport, Michigan. Licensed in Michigan. Registered with an NPI since 2024.
- Licensed in
- MI
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
3443 Farr RdFruitport, MI 49415-8779
Phone: (231) 672-2900
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 5151016783 (MI) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 5315248864 (MI) |
Record details
| NPI number | 1760235600 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 10, 2024 |
| Last updated in NPPES | April 14, 2024 |
| Certification date | April 14, 2024 |
| Mailing address | 1675 Leahy St Ste 315, Muskegon, MI 49442-5543 |
Other providers in Fruitport
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Kyle D. Kutsche, MD
3443 Farr Rd, Fruitport, MI 49415-8779 · (231) 672-2900
-
Amanda McGettigan, DO
3443 Farr Rd, Fruitport, MI 49415-8779 · (231) 672-2900
-
Lauren McGraw, DO
3443 Farr Rd, Fruitport, MI 49415-8779 · (231) 672-2900
-
Mercy Physician Network
3443 Farr Rd, Fruitport, MI 49415-8779 · (231) 672-2900
-
Lane Thomas Olds
3443 Farr Rd, Fruitport, MI 49415-8779 · (231) 672-2900
-
Sandra Raehtz, DO
3443 Farr Rd, Fruitport, MI 49415-8779 · (231) 672-2900
-
Darrell S Roelandt, DO
3443 Farr Rd, Fruitport, MI 49415-8779 · (231) 672-2900
-
Saira Saleem
3443 Farr Rd, Fruitport, MI 49415-8779 · (231) 740-7030