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General NPI Number Information
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NPI Number | 1750222956
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Entity Type | Organization
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Legal Business Name | NORTHERN MICHIGAN MUSCULOSKELETAL MEDICINE PLLC
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 2810 CHARLEVOIX RD STE 104
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City | PETOSKEY
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State | MI
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Zip | 49770-8421
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Country | US
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Telephone | 248-444-8683
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Fax |
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Provider Business Mailing Address
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Address Line | 110 TERRACE ST
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City | CHARLEVOIX
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State | MI
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Zip | 49720-1733
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Country | US
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Telephone | 248-444-8683
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | PETER NEMES
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Credential | DO
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Telephone | 248-444-8683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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