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Northern Michigan Physical Medicine PC

Physical Medicine & Rehabilitation Physician in Petoskey, MI · enumerated 2007 · authorized official Gerald Klooster, Officer.

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

National Provider Identifier

1912121641

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Registry record

Entity type Organization (Type 2)
Legal business name Northern Michigan Physical Medicine PC
Practice address 2780 Charlevoix Ave, Suite 19, Petoskey, MI, 49770
Fax (231) 347-9850
Enumeration date Apr 12, 2007
Last updated in NPPES Nov 27, 2007

Taxonomy & classification

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Gerald Klooster
Title Officer

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 2007-11-27. Verify at npiregistry.cms.hhs.gov.
Where is Northern Michigan Physical Medicine PC located?
The practice location on file with NPPES is in Petoskey, MI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-27.