Crystal Lake Clinic, Pc | |
5191 Rosewood Dr Traverse City MI 49685 | |
(231) 882-9661 | |
Not Available |
Full Name | Crystal Lake Clinic, Pc |
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Speciality | Family Medicine |
Location | 5191 Rosewood Dr, Traverse City, 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 |
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Crystal Lake Clinic, Pc 6227 Frankfort Hwy Benzonia MI 49616-8632 Ph: (231) 882-9661 | Crystal Lake Clinic, Pc 5191 Rosewood Dr Traverse City MI 49685 Ph: (231) 882-9661 |
NPI Number | 1679844849 |
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Provider Enumeration Date | 01/20/2012 |
Last Update Date | 05/02/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679844849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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