Northern Michigan Physical Medicine Plc

NPI #1043499353 in Petoskey, Michigan

Provider Information

NPI Number
1043499353
Entity Type
Organization
Organization Name
Northern Michigan Physical Medicine Plc
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
Nov 2, 2007
Last Updated
Nov 13, 2007

Practice Location

Address
2780 CHARLEVOIX AVE
Address 2
19
ZIP Code
49770-8058
Phone
(231) 347-9800

Authorized Official

Name
DR. GERALD KLOOSTER II, D.O.
Title
OFFICER
Phone
(231) 347-9800

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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