| Crystal Lake Clinic, P.c. | |
|
9975 W Ottawa Ave Empire MI 49630-9618 | |
| (231) 882-9616 | |
| Not Available |
| Full Name | Crystal Lake Clinic, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 9975 W Ottawa Ave, Empire, Michigan |
| Authorized Official Name and Position | Richard 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 49616-8632 Ph: (231) 882-9661 | Crystal Lake Clinic, P.c. 9975 W Ottawa Ave Empire MI 49630-9618 Ph: (231) 882-9616 |
| NPI Number | 1417386145 |
|---|---|
| Provider Enumeration Date | 11/04/2013 |
| Last Update Date | 11/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417386145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Paul Oliver Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9975 W Ottawa Ave, Empire, MI 49630 Phone: 231-835-2088 Fax: 231-835-2534 | |
Manitou Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9975 W Ottawa Ave, Empire, MI 49630 Phone: 231-326-2300 Fax: 231-326-2302 |