Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alpine Family Medicine PLC

Organization Family Medicine Physician · NPI 1174577720

Alpine Family Medicine PLC provides Family Medicine Physician services in Gaylord, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

652 N Otsego Ave
Gaylord, MI 49735-2502
Phone: (989) 732-3529
Fax: (989) 732-7865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence KK030249 (MI)

Record details

NPI number1174577720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Olson — Md/Owner · (989) 732-3529
NPI enumeratedMay 19, 2006
Last updated in NPPESJanuary 6, 2021
Certification dateJanuary 6, 2021
Mailing address652 N Otsego Ave, Gaylord, MI 49735-2502

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