Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL JOHN NYSTROM
ActiveSAMUEL JOHN NYSTROM is a Family Medicine healthcare provider located in FRUITPORT, Michigan. NPI 1760235600 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FRUITPORT, MI
Registration Details
- NPI Number
- 1760235600
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2024 (2.1638434186437 yrs)
- Last Updated
- Apr 14, 2024
- Licenses
-
5315248864 (MI)5151016783 (MI)
Practice Information
- Address
-
3443 FARR RDFRUITPORT, MI, 494158779Browse MI providers · Browse ZIP 49415
- Phone
- 2316722900
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in FRUITPORT, MI
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID LEON DORA | D.O. | 1629079686 |
| CHAD UPTIGROVE | DO | 1851378657 |
| DR. KRISTEN KAY WOODS | MD | 1093792855 |
| ANTHONY V IZOKAITIS | DO | 1699752477 |
| DARRELL S ROELANDT | DO | 1326028028 |
| KRISTEN M WAGNER | D.O. | 1598017048 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.