Pine River Medical Associates, P.c.

NPI #1538102694 in Charlevoix, Michigan

Provider Information

NPI Number: 1538102694
Entity Type: Organization
Organization Name: Pine River Medical Associates, P.c.
Primary Specialty: Specialist
Enumeration Date: Jun 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 14734 PARK AVE
City: Charlevoix
State: Michigan
ZIP Code: 49720
Phone: (231) 547-6554

Authorized Official

Name: MRS. PAMELA M NEWCOMB
Title: HUMAN RESOURCE OFFICER
Phone: (231) 547-6554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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