| Crystal Lake Clinic, Pc | |
|
115 E 7th St Manton MI 49663-9429 | |
| (231) 824-4100 | |
| (231) 824-4108 |
| Full Name | Crystal Lake Clinic, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 115 E 7th St, Manton, 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, Pc 6227 Frankfort Hwy Benzonia MI 49616-8632 Ph: (231) 882-9661 | Crystal Lake Clinic, Pc 115 E 7th St Manton MI 49663-9429 Ph: (231) 824-4100 |
| NPI Number | 1306190475 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 10/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306190475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Manton Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 7th St, Manton, MI 49663 Phone: 231-824-9672 | |
Manton Health Center,p Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 7th St, Manton, MI 49663 Phone: 231-715-6131 |