CREEKSIDE CLINIC LLC NPI 1558390799

NPI Information

CREEKSIDE CLINIC, LLC is a family medicine in Traverse City, 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. CREEKSIDE CLINIC, LLC NPI is 1558390799. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1225 W FRONT ST
TRAVERSE CITY, MI
ZIP 49684-317
Phone: (231) 935-0788
Fax: (231) 935-0787

The provider's authorized official is Douglas Spence .
The authorized official title is Owner/physician and has the following contact phone number (231) 935-0788.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 12/8/2012.

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:

Other Identifiers

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