Pine Medical Group, PC

NPI #1770791147 in Fremont, Michigan

Provider Information

NPI Number: 1770791147
Entity Type: Organization
Organization Name: Pine Medical Group, PC
Primary Specialty: Family Medicine
Enumeration Date: May 18, 2007
Last Updated: May 14, 2010

Practice Location

Address: 230 W OAK ST
City: Fremont
State: Michigan
ZIP Code: 49412-1575
Phone: (231) 924-4200

Authorized Official

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

Specialties & Taxonomy Codes

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

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