Organization
SIC OF MICHIGAN, PC
Active
Other names
Centers at SIC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH VANDER LUGT (OWNER)
(616) 366-5079
Entity
Organization
Contact information
Practice address
4290 COPPER RIDGE DR STE 130, TRAVERSE CITY, MI 49684-7205
(231) 252-0893
Mailing address
4290 COPPER RIDGE DR STE 130, TRAVERSE CITY, MI 49684-7205
(231) 252-0893
Taxonomy
Speciality
Code
Description
License number
State
209800000X
Legal Medicine (M.D./D.O.) Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Enumeration date
04/09/2025
Last updated
03/20/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us