CRYSTAL LAKE CLINIC P.C.
NPI 1386028769
Family Medicine in Williamsburg, MI

Q: What is Crystal Lake Clinic P.C.'s NPI number?

The NPI number for Crystal Lake Clinic P.C. is 1386028769. It was assigned to this organization in the NPPES registry on July 15, 2015.

Q: What is Crystal Lake Clinic P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 15, 2015

6170 US HIGHWAY 31 N, WILLIAMSBURG, MI 49690(231) 715-3614 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Crystal Lake Clinic P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL LAKE CLINIC P.C. (NPI 1386028769) is a healthcare organization registered as a family medicine in Williamsburg, Michigan and active in the NPI registry since July 2015. The organization lists Richard C Nielsen, President, as its authorized official.

NPPES Registry Identity

NPI1386028769

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCRYSTAL LAKE CLINIC P.C.

Location Address6170 US HIGHWAY 31 NWilliamsburg, MI 49690-9306

Mailing Address6227 Frankfort HwyBenzonia, MI 49616-8632 · (231) 882-9661 · Fax (231) 882-9616

Phone(231) 715-3614

Organization SubpartNo

Authorized OfficialRichard C NielsenPresident · (231) 882-9661

Enumeration DateJuly 15, 2015

✔ NPI 1386028769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

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.

6170 US HIGHWAY 31 N, Williamsburg, MI 49690

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Other Identifiers 1

Medicare PIN0N38430MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CODY ROBERT ZIETZ OTR/L

Occupational Therapist

6170 US HIGHWAY 31 N
WILLIAMSBURG, MI 49690

Grand Traverse County (231) 421-5285

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Lake Clinic P.C.'s NPI number?

The NPI number for Crystal Lake Clinic P.C. is 1386028769. It was assigned to this organization in the NPPES registry on July 15, 2015.

Where is Crystal Lake Clinic P.C. located?

Crystal Lake Clinic P.C. is located at 6170 Us Highway 31 N, Williamsburg, MI 49690. The listed phone number is (231) 715-3614.

What is Crystal Lake Clinic P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Crystal Lake Clinic P.C. was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.