Organization
PINE MEDICAL GROUP, P.C.
Active
Other names
Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGE YOUNG (ADMINISTRATOR)
(231) 924-4200
Entity
Organization
Contact information
Practice address
211 W PINE LAKE DR, NEWAYGO, MI 49337-8029
(231) 652-1631
(231) 652-1733
Mailing address
230 W OAK ST, FREMONT, MI 49412-1526
(231) 924-4200
(231) 924-4064
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MI
261QU0200X
Urgent Care Clinic/Center
—
MI
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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