OrganizationActive
Secret Forest Country Doctor
NPI 1447967153 · Family Medicine Physician · Central Lake, MI
Provider details
- NPI number
- 1447967153
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gloria Witt, President(231) 544-7001
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
493 N Derenzy Rd
Central Lake, MI 49622-9566
Phone: (231) 544-7001
Fax: (231) 600-7054
Street-level locationGet directions
Mailing address
493 N Derenzy Rd
Central Lake, MI 49622-9566
Registry dates
- Enumerated
- 2022-11-02
- Last updated
- 2022-11-02
- Certified
- 2022-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.