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Contact Information

JOHN STREET CLINIC PC
112 E JOHN ST
LAKE CITY, MI49651
 Phone: 231-839-4359
 Fax: 231-839-0223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JOHN STREET CLINIC PC · (Female)

NPI Number 1033253133
Status Active
Credentials
Entity Individual
Enumeration date 02/20/2007
Last updated 08/05/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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