Primary Care Sports Medicine PC

NPI #1972658136 in Petoskey, Michigan

Provider Information

NPI Number
1972658136
Entity Type
Organization
Organization Name
Primary Care Sports Medicine PC
Primary Specialty
Family Medicine
Enumeration Date
Jan 25, 2007
Last Updated
Jul 8, 2008

Practice Location

Address
560 W MITCHELL ST
Address 2
SUITE 340
ZIP Code
49770-2275
Phone
(231) 348-9710

Authorized Official

Name
DR. TODD M SHEPERD, MD
Title
PRESIDENT
Phone
(231) 348-9710

Specialties & Taxonomy Codes

Specialty
Family Medicine

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