| Grand Traverse County Health Department | |
|
112 S Brownson Ave Kingsley MI 49649 | |
| (231) 263-5895 | |
| Not Available |
| Full Name | Grand Traverse County Health Department |
|---|---|
| Speciality | Clinic/center |
| Location | 112 S Brownson Ave, Kingsley, Michigan |
| Authorized Official Name and Position | Erin Carlson (ACCOUNTING TECHNICIAN) |
| Authorized Official Contact | 2319956103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Traverse County Health Department 2600 Lafranier Rd Ste A Traverse City MI 49686-4765 Ph: (231) 995-6111 | Grand Traverse County Health Department 112 S Brownson Ave Kingsley MI 49649 Ph: (231) 263-5895 |
| NPI Number | 1528382538 |
|---|---|
| Provider Enumeration Date | 03/19/2010 |
| Last Update Date | 09/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528382538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Crystal Lake Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2283 E M 113, Kingsley, MI 49649 Phone: 231-882-9661 Fax: 231-882-9616 |