CRYSTAL LAKE CLINIC P.C. – Family Medicine Physician, NPI 1770537748

CRYSTAL LAKE CLINIC P.C. is a healthcare provider. based in Benzonia, Michigan. specializing in Family Medicine Physician. The NPI Number for CRYSTAL LAKE CLINIC P.C. is 1770537748

Main info

Organization
Name
CRYSTAL LAKE CLINIC P.C.
NPI
1770537748
Phone
(231) 882-9661
Address
6227 FRANKFORT HWY
Authorized Official
RICHARD C NIELSEN PRESIDENT M.D.
Enumeration Date
22 May 2006
Last Update Date
27 January 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for CRYSTAL LAKE CLINIC P.C.

  • Crystal Lake Health Center Benzonia Clinic, 6227, Frankfort Highway, Benzonia, Crystal Lake Township, Benzie County, Michigan, 49616, United States

    BENZONIA, MI 496169654

    Phone: (231) 882-9661

    Fax: (231) 882-9616

    Type: Mailing

  • Crystal Lake Health Center Frankfort Clinic, 826, Forest Avenue, Frankfort, Benzie County, Michigan, 49635, United States

    FRANKFORT, MI 496359003

    Phone: (231) 352-5285

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49616)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for CRYSTAL LAKE CLINIC P.C.?
CRYSTAL LAKE CLINIC P.C. — NPI 1770537748 — is the standard way to identify this listing.
Can I rely on CRYSTAL LAKE CLINIC P.C. being an active provider?
As of the registry snapshot, CRYSTAL LAKE CLINIC P.C. is marked active.
What taxonomy line describes CRYSTAL LAKE CLINIC P.C.?
For research purposes, treat CRYSTAL LAKE CLINIC P.C. as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for CRYSTAL LAKE CLINIC P.C.?
CRYSTAL LAKE CLINIC P.C.'s geographic hint is Benzonia, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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