MEDICARE: BROOKSIDE FAMILY MEDICINE A CENTER FOR HEALTH AND WELL-BEING PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4301068214	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0280363	OTHER	MI	BLUE CARE NETWORK
3	0B810140	OTHER	MI	BCBS OF MI GROUP

General Provider Information

NPI Number	:	1699957571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKSIDE FAMILY MEDICINE A CENTER FOR HEALTH AND WELL-BEING PLC

Provider Business Mailing Address
First Line	:	647 E EIGHTH ST
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686-2630
Country	:	US
Telephone Number	:	231-922-0400
Fax Number	:	855-586-8399

Provider Business Practice Location Address
First Line	:	647 E EIGHTH ST
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686-2630
Country	:	US
Telephone Number	:	231-922-0400
Fax Number	:	855-586-8399

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. DEBRA KAY GRAETZ
Credential	:	MD
Telephone Number	:	231-922-0400

Provider Enumeration Date	:	12/03/2007
Last Update Date	:	02/15/2024

Similar Medicare Providers

1508854035 — MRS. CHRISTY JOY ALEXANDER P.A.-C
Practice Location Address:

647 E EIGHTH ST
TRAVERSE CITY, MI
49686-2630

Practice Phone: 231-922-0400
Practice Fax: 855-586-8399

1902878986 — DR. SAM P COPELAND DO
Practice Location Address:

615 E 8TH ST
TRAVERSE CITY, MI
49686-2630

Practice Phone: 231-929-2900
Practice Fax: 231-929-7191

1720092430 — DR. SHARON L OLSON PH.D. APRN
Practice Location Address:

615 E 8TH ST
TRAVERSE CITY, MI
49686-2630

Practice Phone: 231-929-2900
Practice Fax:

1528283199 — DR. JENNIFER MARIE LYON D.O.
Practice Location Address:

647 E EIGHTH ST
TRAVERSE CITY, MI
49686-2630

Practice Phone: 231-900-0400
Practice Fax: 855-586-8399

1801036090 — CENTER FOR HEALTH PLLC
Practice Location Address:

615 E EIGHTH ST
TRAVERSE CITY, MI
49686-2630

Practice Phone: 231-929-2900
Practice Fax: 231-929-7191

1891926200 — DR. N. /CURTIS FORCE D.O.
Practice Location Address:

615 E 8TH ST
TRAVERSE CITY, MI
49686-2630

Practice Phone: 231-929-2900
Practice Fax: 231-929-7191

Directions to “BROOKSIDE FAMILY MEDICINE A CENTER FOR HEALTH AND WELL-BEING PLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.