| Manitou Medical Center | |
|
9975 W Ottawa Ave Empire MI 49630-9618 | |
| (231) 326-2300 | |
| (231) 326-2302 |
| Full Name | Manitou Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 9975 W Ottawa Ave, Empire, Michigan |
| Authorized Official Name and Position | Douglas Coles (OWNER) |
| Authorized Official Contact | 2313527103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manitou Medical Center 9975 W Ottawa Ave Empire MI 49630-9618 Ph: (231) 326-2300 | Manitou Medical Center 9975 W Ottawa Ave Empire MI 49630-9618 Ph: (231) 326-2300 |
| NPI Number | 1912087685 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912087685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301048430 (Michigan) | Primary |
Paul Oliver Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9975 W Ottawa Ave, Empire, MI 49630 Phone: 231-835-2088 Fax: 231-835-2534 | |
Crystal Lake Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9975 W Ottawa Ave, Empire, MI 49630 Phone: 231-882-9616 |