| Crystal Lake Clinic, P.c. | |
|
8225 Lake St Bear Lake MI 49614-9688 | |
| (231) 864-3314 | |
| Not Available |
| Full Name | Crystal Lake Clinic, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 8225 Lake St, Bear Lake, 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. 8225 Lake St Bear Lake MI 49614-9688 Ph: (231) 864-3314 |
| NPI Number | 1902851777 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 11/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902851777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Northwest Michigan Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6433 8 Mile Rd, Bear Lake, MI 49614 Phone: 231-889-7180 Fax: 231-889-7181 |