| Crystal Lake Clinic P.c. | |
|
6227 Frankfort Hwy Benzonia MI 49616-9654 | |
| (231) 882-9661 | |
| (231) 882-9616 |
| Full Name | Crystal Lake Clinic P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 6227 Frankfort Hwy, Benzonia, Michigan |
| Authorized Official Name and Position | Richard C. Nielsen (PRESIDENT) |
| Authorized Official Contact | 2318829661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Lake Clinic P.c. 6227 Frankfort Hwy Benzonia MI 49616-9654 Ph: (231) 882-9661 | Crystal Lake Clinic P.c. 6227 Frankfort Hwy Benzonia MI 49616-9654 Ph: (231) 882-9661 |
| NPI Number | 1316991755 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 02/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316991755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
Crystal Care Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1951 Benzie Hwy, Benzonia, MI 49616 Phone: 231-871-1817 | |
Northwest Michigan Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6051 Frankfort Hwy, Benzonia, MI 49616 Phone: 231-947-1112 Fax: 231-947-7739 |