Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Third Avenue Family Clinic, PC

Organization Family Medicine Physician · NPI 1619997996

Third Avenue Family Clinic, PC provides Family Medicine Physician services in Fruitport, Michigan. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14 N Third Ave
Fruitport, MI 49415 Not confirmed with CMS for 15 years — call before visiting
Phone: (231) 865-3918
Fax: (231) 865-3510
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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 number1619997996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joyce Stapel — Office Manager · (231) 865-3918
NPI enumeratedJuly 20, 2006
Last updated in NPPESMay 24, 2011
Mailing address14 N 3rd Ave, Fruitport, MI 49415-8920

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