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1679957617
CRYSTAL LAKE CLINIC P.C.
TRAVERSE CITY, MI
NPI
1679957617
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Entity Type
Organization
Authorized Contact
RICHARD C NIELSEN
President
231-882-9661
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2015-07-18
Last Update Date
2015-07-18
Business Address
CRYSTAL LAKE CLINIC P.C.
1225 W FRONT ST SUITE C
TRAVERSE CITY, MI 49684-2368
Phone number: 231-715-3601
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Mailing Address
CRYSTAL LAKE CLINIC P.C.
6227 FRANKFORT HWY
BENZONIA, MI 49616-8632
Phone number: 231-882-9661
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