1. Home
  2. Directory
  3. Michigan
  4. Central Lake
  5. Family Medicine
  6. NPI Profile

SECRET FOREST COUNTRY DOCTOR
NPI 1447967153
Family Medicine in Central Lake, MI

Active since November 02, 2022
493 N DERENZY RD, CENTRAL LAKE, MI 49622(231) 544-7001(231) 600-7054 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Secret Forest Country Doctor NPPES

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

SECRET FOREST COUNTRY DOCTOR (NPI 1447967153) is a healthcare organization registered as a family medicine in Central Lake, Michigan and active in the NPI registry since November 2022. The organization lists Gloria Witt, President, as its authorized official.

NPPES Registry Identity

NPI1447967153
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSECRET FOREST COUNTRY DOCTOR
Location Address493 N DERENZY RDCentral Lake, MI 49622-9566
Mailing Address493 N Derenzy RdCentral Lake, MI 49622-9566 · (231) 544-7001 · Fax (231) 600-7054
Phone(231) 544-7001
Fax(231) 600-7054
Organization SubpartNo
Authorized OfficialGloria WittPresident · (231) 544-7001
Enumeration DateNovember 2, 2022
NPPES CertifiedNovember 2, 2022
✔ NPI 1447967153 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.
493 N DERENZY RD, Central Lake, MI 49622
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

GLORIA M KLAASSEN WITT M.D.
Family Medicine
493 N DERENZY RD
CENTRAL LAKE, MI 49622
Antrim County (231) 544-7001

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 Secret Forest Country Doctor's NPI number?

The NPI number for Secret Forest Country Doctor is 1447967153. It was assigned to this organization in the NPPES registry on November 2, 2022.

Where is Secret Forest Country Doctor located?

Secret Forest Country Doctor is located at 493 N Derenzy Rd, Central Lake, MI 49622. The listed phone number is (231) 544-7001.

What is Secret Forest Country Doctor'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 Secret Forest Country Doctor was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.