Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRYSTAL LAKE CLINIC P.C.
Active OrganizationCRYSTAL LAKE CLINIC P.C. is a Family Medicine organization located in INTERLOCHEN, Michigan. NPI 1417902057 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · INTERLOCHEN, MI
Registration Details
- NPI Number
- 1417902057
- Provider Type
- Organization
- NPI Issued
- May 23, 2006 (20.210591413258 yrs)
- Last Updated
- Feb 14, 2011
Practice Information
- Address
-
1975 STIRLING DRINTERLOCHEN, MI, 496439264Browse MI providers · Browse ZIP 49643
- Phone
- 2312757965
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.