Secret Forest Country Doctor
Secret Forest Country Doctor provides Family Medicine Physician services in Central Lake, Michigan. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
493 N Derenzy RdCentral Lake, MI 49622-9566
Phone: (231) 544-7001
Fax: (231) 600-7054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1447967153 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gloria Witt — President · (231) 544-7001 |
| NPI enumerated | November 2, 2022 |
| Last updated in NPPES | November 2, 2022 |
| Certification date | November 2, 2022 |
| Mailing address | 493 N Derenzy Rd, Central Lake, MI 49622-9566 |
Other providers in Central Lake
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Gloria M Klaassen Witt, MD
493 N Derenzy Rd, Central Lake, MI 49622-9566 · (231) 544-7001