Organization
BIRCH SHORE PRIMARY CARE PLLC
Active
Parent organization
NORTHWOODS HEALTH COLLECTIVE
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWOODS HEALTH COLLECTIVE
Authorized official
CHARLES JAY VANDENBERG IV D.O. (PRESIDENT)
(660) 988-0795
Entity
Organization
Contact information
Practice address
3021 SCHOEDEL RD, MANISTEE, MI 49660-9753
(231) 397-9229
Mailing address
3021 SCHOEDEL RD, MANISTEE, MI 49660-9753
(231) 397-9229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
05/27/2026
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