Unknown Individual – Family Medicine Physician, NPI 1992802409

Unknown Individual is a healthcare provider. based in Algonac, Michigan. specializing in Family Medicine Physician. They hold a License No. LK005068 (MI). The NPI Number for Unknown Individual is 1992802409

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1992802409
Phone
(810) 794-9100
Address
6603 DYKE ROAD
Deactivation Date
9 August 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 6603 DYKE ROAD

    ALGONAC, MI 480013603

    Phone: (810) 794-9100

    Fax: (810) 794-1871

    Type: Mailing

  • Dyke Road, Clay County, Texas, 76377, United States

    CLAY, MI 48001

    Phone: (810) 794-9100

    Fax: (810) 794-1871

    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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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 48001)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1992802409 — is the standard way to identify this listing.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Algonac, Michigan may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.