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Crystal Lake Clinic P.C.

Family Medicine Physician in Benzonia, MI · enumerated 2006 · authorized official Richard Nielsen, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316991755

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Registry record

Entity type Organization (Type 2)
Legal business name Crystal Lake Clinic P.C.
Practice address 6227 Frankfort Hwy, Benzonia, MI, 49616
Phone (231) 882-9661
Fax (231) 882-9616
Enumeration date May 20, 2006
Last updated in NPPES Feb 14, 2011

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Richard Nielsen
Title President
Phone (231) 882-9661

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-02-14. Verify at npiregistry.cms.hhs.gov.
Where is Crystal Lake Clinic P.C. located?
The practice location on file with NPPES is in Benzonia, MI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-02-14.