NORTHERN MICHIGAN RHEUMATOLOGY strives to comply with COVID-19 safety and prevention guidelines set forth by public health authorities including the Centers for Disease Control and Executive Order(s) from Governor Whitmer including social distancing, mask requirements, disinfection practices, and onsite screening procedures.  For this reason, onsite clinic appointment visits were put on HOLD as of March 16, 2020, with only partial reopening starting in June, 2020 for selected cases only.  It is therefore necessary to request that you not come in person to the office unless special need for an in-office appointment has been identiied in advance.

In the meantime, you may call our office at 231-348-3800 if you have a need such as a medication prescription renewal,  prior authorization, laboratory order renewal or time sensitive clinical concern. 

Go to the nearest Emergency Room or call 911 if you have an urgent problem or emergency situation. If you have a medical problem that is not related to Rheumatology, please seek attention from your Primary Care Provider and/or appropriate specialist. 

It is uncertain at the time of this NOTICE (5/29/2020) when the COVID-19 precautions will be fully lifted.  The intent is that in-office appointments that have had to be put on hold will be RESCHEDULED when possible, and meanwhile,TELEMEDICINE VISITS may be conducted via Face Time, Google Duo, Doximity Dialer or other video platform , or  telephone audio visits may be considered when video  access is not available. If your onsite visit is cancelled, please let the receptionist know if you do or do not have VIDEO available. 

In-office visits as scheduled for selected cases involve a screening questionnaire and touchless temperature check prior to entry into the inner office.  Those with fever or symptoms or signs suggestive fo COVID 19 infection will not be admitted into the inner office and will instead be recommended to seek evaluation and care for such symptoms. Masks are required and mandatory for all staff and patients while in the office.  Visitors will not be permitted in the office unless considered essential to the patient's care. All staff and essential visitors will be pre-screened before entering the inner office and required to wear a mask covering nose and mouth while in the ofifce. Staff will be provided with additional personal protective equiipment.

CDC sanitzation and disinfection protocols will be followed. The waiting room will be bypassed and the patient wlll be directed straight  to their exam room. The office,  exam rooms and restroom will be disinfected by staff on a repeated basis through the day..Disposable masks and gloves are available for patients. Hand sanitizer will be available and its use and./or frequent hand washing is recommended for staff, patients and essential visitors.

   *****THANK YOU for your cooperation and understanding during this NATIONAL EMERGENCY*****.


WELCOME TO NORTHERN MICHIGAN RHEUMATOLOGY (NMR), the practice of Irene S. Kazmers, MD, FACP, RhMSUS,  Board Certified Rheumatologist, Fellow Member of the American College of Rheumatology, and Board Certified by the American Board of Integrative Holistic Medicine (ABIHM).

Mission: To provide high quality specialty care focused on the diagnosis, management and treatment of the medical conditions and diseases that fall within the spectrum of the field of rheumatology, including the various forms of arthritis, osteoporosis and autoimmune, systemic vasculitic and related disorders.

These include rheumatoid arthritis, psoriatic arthritis, osteoarthritis, gout, systemic lupus erythematosus, systemic sclerosis, polymyositis, dermatomyositis, ankylosing spondylitis, and many others.

Patient education, joint aspiration and medication injection treatment, musculoskeletal ultrasound for diagnostic and procedural indications are among additional services provided, as needed. Platelet rich plasma injection is an additional therapeutic procedural technique available onsite for select cases.