| Crystal Lake Clinic P.c. | |
|
826 Forest Ave Frankfort MI 49635-9003 | |
| (231) 352-5285 | |
| Not Available |
| Full Name | Crystal Lake Clinic P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 826 Forest Ave, Frankfort, 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. 826 Forest Ave Frankfort MI 49635-9003 Ph: (231) 352-5285 |
| NPI Number | 1770537748 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 01/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770537748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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