CRYSTAL LAKE CLINIC, PC

TRAVERSE CITY, MI
NPI1679844849
Entity TypeOrganization
Authorized ContactRICHARD C NIELSEN
President
231-882-9661
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2012-01-20
Last Update Date2017-05-02
Business Address
CRYSTAL LAKE CLINIC, PC
5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
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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