CRYSTAL LAKE CLINIC P.C.

TRAVERSE CITY, MI
NPI1538543913
Entity TypeOrganization
Authorized ContactRICHARD C NIELSEN
President
231-882-9661
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2015-07-15
Last Update Date2015-07-15
Business Address
CRYSTAL LAKE CLINIC P.C.
1213 W FRONT ST
TRAVERSE CITY, MI 49684-2317
Phone number: 231-715-3620
Mailing Address
CRYSTAL LAKE CLINIC P.C.
6227 FRANKFORT HWY
BENZONIA, MI 49616-8632
Phone number: 231-882-9661
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