Pine Medical Group, P.c.

NPI #1376512764 in Newaygo, Michigan

Provider Information

NPI Number: 1376512764
Entity Type: Organization
Organization Name: Pine Medical Group, P.c.
Primary Specialty: Family Medicine
Enumeration Date: Mar 16, 2006
Last Updated: May 14, 2010

Practice Location

Address: 211 W PINE LAKE DR
City: Newaygo
State: Michigan
ZIP Code: 49337-8029
Phone: (231) 652-1631

Authorized Official

Name: MRS. MARGE YOUNG
Title: ADMINISTRATOR
Phone: (231) 924-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Pediatrics	208000000X
Orthopaedic Surgery	207X00000X
Surgery	208600000X
Physician Assistant - Surgical — Surgical	363AS0400X
Nurse Practitioner	363L00000X
Clinic/Center - Rural Health — Rural Health	261QR1300X
Family Medicine	207Q00000X	Primary

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