# INTEGRATIVE SPECIALTY CARE OF NORTHERN MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750744066
- **Authorized official:** IRENE KAZMERS MD (CO-OWNER)
- **Authorized official phone:** (231) 348-3800

## Contact information

- **Practice address:** 3250 WOODS WAY, PETOSKEY, MI 49770-7628
- **Practice address phone:** (231) 348-3800
- **Practice address fax:** (877) 397-7480
- **Mailing address:** 3250 WOODS WAY, PETOSKEY, MI 49770-7628
- **Mailing address phone:** (231) 348-3800
- **Mailing address fax:** (877) 397-7480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301041105 | MI | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 4301041105 | MI | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 4301041254 | MI | — |
| 2086S0129X | Vascular Surgery Physician | 4301041254 | MI | — |

## Other

- **Enumeration date:** 04/04/2016
- **Last updated:** 04/06/2016