Search › Michigan › 207Q00000X
Samuel Nystrom
NPI 1760235600 · on the registry since 2024
Practice
- Address
- 3443 Farr Rd
Fruitport, MI 49415 - Phone
- (231) 672-2900
- Organisation at this address
- Mercy Physician Network
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 35
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan