CRYSTAL LAKE CLINIC PC is a family medicine in Manistee, MI. The provider is 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 is not limited by age, sex, organ system, or disease entity. CRYSTAL LAKE CLINIC PC NPI is 1134491731. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1806 E PARKDALE AVE STE 2
MANISTEE, MI
ZIP 49660-364
Phone: (231) 882-9661
The provider's authorized official is Richard Nielsen .
The authorized official title is President and has the following contact phone number (231) 882-9661.
The CLIA number assigned to this NPI record is 23D2134178 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/30/2012 and was last updated on 1/30/2012.