CRYSTAL LAKE CLINIC PC

MANISTEE, MI
NPI1134491731
Entity TypeOrganization
Authorized ContactRICHARD NIELSEN
President
231-882-9661
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2012-01-30
Last Update Date2012-01-30
Business Address
CRYSTAL LAKE CLINIC PC
1806 E PARKDALE AVE STE 2
MANISTEE, MI 49660-9364
Phone number: 231-882-9661
Mailing Address
CRYSTAL LAKE CLINIC PC
6227 FRANKFORT HWY
BENZONIA, MI 49616-8632
Phone number: 231-882-9661
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