DOCKSIDE MEDICAL PLC NPI 1447936539

NPI Information

  • NPI: 1447936539
  • Provider Name: DOCKSIDE MEDICAL PLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: DOCKSIDE FAMILY MEDICINE
  • CLIA Number: 23D2293243
  • Address: 401 E HURON RD BLDG B
    AU GRES, MI
    ZIP 48703
  • Phone: (989) 314-0317

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NPI Details

DOCKSIDE MEDICAL PLC is a family medicine in Au Gres, 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. DOCKSIDE MEDICAL PLC NPI is 1447936539. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dockside Family Medicine.

The provider's business location address is:

401 E HURON RD BLDG B
AU GRES, MI
ZIP 48703-357
Phone: (989) 314-0317
Fax: (989) 256-0655

The provider's authorized official is Rebecca Britt-dewyer .
The authorized official title is Owner/physician and has the following contact phone number (989) 280-4639.

The CLIA number assigned to this NPI record is 23D2293243 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2023 and was last updated on 8/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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