Organization · Type 2 NPI
Northern Michigan Musculoskeletal Medicine PLLC
Sports Medicine (Neuromusculoskeletal Medicine) Physician · Petoskey, MI
Practice location
2810 Charlevoix Rd Ste 104
Petoskey, MI 49770-8421
Mailing address
110 Terrace St
Charlevoix, MI 49720-1733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary | 204C00000X | None listed |
Sports Medicine (Neuromusculoskeletal Medicine) Physician: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sp…
Another provider at this address
About NPI 1750222956
Northern Michigan Musculoskeletal Medicine PLLC's National Provider Identifier is 1750222956, issued on Apr 2, 2026. The primary taxonomy on file is Sports Medicine (Neuromusculoskeletal Medicine) Physician (204C00000X), and the practice location is in Petoskey, MI. The record was last updated on Sep 9, 2026.