Crystal Lake Clinic, P.C. in Benzonia - Family Medicine
Crystal Lake Clinic, P.C. - NPI 1902851777
Crystal Lake Clinic, P.C. is a Family Medicine in Benzonia, Michigan. Crystal Lake Clinic, P.C. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Crystal Lake Clinic, P.C. is 1902851777. The last update date is 2018-11-06.
Crystal Lake Clinic, P.C.'s current location address is 6227 Frankfort Hwy, Benzonia, Michigan. You can contact this provider via phone number 2318829661 and fax number 2318829616. The mailing address for Crystal Lake Clinic, P.C. is 6227 Frankfort Hwy, Benzonia, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crystal Lake Clinic, P.C. |
|---|---|
| Address | 6227 Frankfort Hwy, Benzonia, Michigan |
| Phone Number | 2318829661 |
| Fax Number | 2318829616 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Nielsen C Richard |
| Credentials | M.D. |
| Telephone Number | 2318829661 |
NPI Number Detail
| NPI Number | 1902851777 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2018-11-06 |
Provider Mailing Address Detail
| Address | 6227 Frankfort Hwy |
|---|---|
| City | Benzonia |
| State | Michigan (MI) |
| Post Code | 496169654 |
| Phone Number | 2318829661 |
| Fax Number | 2318829616 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique identifier code issued to Crystal Lake Clinic, P.C. by the Centers for Medicare & Medicaid Services?
The Crystal Lake Clinic, P.C. has been assigned the NPI (National Provider Identifier) 1902851777. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Crystal Lake Clinic, P.C.'s facilities are geographically located?
The facilities of Crystal Lake Clinic, P.C. are physically situated at the following location: 6227 Frankfort Hwy, Benzonia, MI, 496169654.
What is the Crystal Lake Clinic, P.C.'s specialty and taxonomy code?
The Crystal Lake Clinic, P.C.'s specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date was the 1902851777 assigned to Crystal Lake Clinic, P.C.?
The Crystal Lake Clinic, P.C. was issued its 1902851777 on 2006-05-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Crystal Lake Clinic, P.C. most recently updated or revised?
The details related to Crystal Lake Clinic, P.C., including its address, specialty, and other relevant information, were last updated or revised on 2018-11-06.
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